Strategic Plan FY 2022 – 2026Every four years, HHS updates its Strategic Plan, which describes its work to address complex, multifaceted, and evolving health and human services issues. An agency strategic plan is one of three main elements required by the Government Performance and Results Act (GPRA) of 1993 (P.L. 103-62) and the GPRA Modernization Act of 2010 (P.L. 111-352). An agency strategic plan defines its mission, goals, and the means by which it will measure its progress in addressing specific national problems over a four-year period.For the period FY 2022 - 2026, HHS is publishing its Strategic Plan as a Web document, which will be updated periodically to reflect the Department’s strategies, actions, and progress toward its goals. The Web version of the Strategic Plan, rather than focusing on a static set of performance measures, provides priorities, accomplishments, and next steps that are tracked and updated frequently, reinforcing the Strategic Plan’s function as a living, vital document that serves a genuine management purpose.U.S. Department of Health and Human ServicesHHS_9b56aaae-2fed-11e1-8f79-be747a64ea2aXavier BecerraSecretary, Health and Human ServicesUnderserved CommunitiesIn the context of HHS, this Strategic Plan adopts the definition of underserved communities listed in Executive Order 13985: Advancing Racial Equity and Support for Underserved Communities through the Federal Government to refer to “populations sharing a particular characteristic, as well as geographic communities, who have been systematically denied a full opportunity to participate in aspects of economic, social, and civic life”; this definition includes individuals who belong to underserved communities that have been denied such treatment, such as Black, Latino, and Indigenous and Native American persons, Asian Americans and Pacific Islanders and other persons of color; members of religious minorities; lesbian, gay, bisexual, transgender, and queer (LGBTQ+) persons; persons with disabilities; persons who live in rural areas; and persons otherwise adversely affected by persistent poverty or inequality. Individuals may belong to more than one underserved community and face intersecting barriers. This definition applies to the terms underserved communities and underserved populations throughout this Strategic Plan._bca5fd22-cf47-11ec-89c9-1e9f0283ea00To enhance the health and well-being of all Americans, by providing for effective health and human services and by fostering sound, sustained advances in the sciences underlying medicine, public health, and social services_bca5fe30-cf47-11ec-89c9-1e9f0283ea00EquityEngagementLearningTransparencyAccountabilityTrustHealthcareProtect and Strengthen Equitable Access to High Quality and Affordable Healthcare_bca5fee4-cf47-11ec-89c9-1e9f0283ea001HHS works to protect and strengthen equitable access to high quality and affordable healthcare. Increasing choice, affordability and enrollment in high-quality healthcare coverage is a focus of the Department’s efforts in addition to reducing costs, improving quality of healthcare services, and ensuring access to safe medical devices and drugs. HHS also works to expand equitable access to comprehensive, community-based, innovative, and culturally- and linguistically-appropriate healthcare services while addressing social determinants of health. The Department is driving the integration of behavioral health into the healthcare system to strengthen and expand access to mental health and substance use disorder treatment and recovery services for individuals and families. HHS also bolsters the health workforce to ensure delivery of quality services and care.Choice, Affordability & EnrollmentIncrease choice, affordability, and enrollment in high-quality healthcare coverage_bca5ffde-cf47-11ec-89c9-1e9f0283ea001.1Contributing OpDivs and StaffDivsACL, AHRQ, ASPE, CMS, HRSA, and OASH work to achieve this objective. HHS OpDivs and StaffDivs engage and work with a broad range of partners and stakeholders to implement the strategies and achieve this Objective.ACLAHRQASPECMSHRSAOASHHHS supports strategies to increase choice, affordability, and enrollment in high-quality healthcare coverage. HHS promotes available and affordable healthcare coverage to improve health outcomes in our communities and empowers consumers with high quality healthcare coverage choices. The Department also leverages knowledge and partnerships to increase enrollment in health insurance coverage. ^^ Performance Goals ~ The HHS Annual Performance Plan provides information on the Department’s measures of progress towards achieving the goals and objectives described in the HHS Strategic Plan for FY 2022–2026. Below are the related performance measures for this Objective.Performance Measure 1.1.1Health Insurance Coverage_fa24ce88-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_1Improve availability and accessibility of health insurance coverage by increasing enrollment of eligible children in CHIP and MedicaidStatusAvailable & Accessible[To be determined]Performance Measure 1.1.2MEPS TablesNumber_3cb54070-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_2Increase the number of tables per year added to the MEPS table seriesStatusIncreased[To be determined]Performance Measure 1.1.3Patients ServedNumber_3cb566b8-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_3Number of patients served by health centers[To be determined]Performance Measure 1.1.3Patients below ThresholdPercentage_3cb590a2-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_4Percentage of Health Center patients who are at or below 200 percent of poverty[To be determined]OutcomesPromote available and affordable healthcare coverage to improve health outcomes in all communities, particularly those that are underserved_197ee0d4-d003-11ec-ae44-26d52083ea00Strategy 1.1.1_fa250416-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_5[To be determined]OutreachEnhance and support outreach efforts to inform eligible individuals, of available affordable healthcare insurance options and related cost-saving opportunities, including premium and cost-sharing assistance programs._197ee3e0-d003-11ec-ae44-26d52083ea00Task 1.1.1.1_fa252fa4-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_6[To be determined]CoverageImprove continuation of coverage and process for coverage transitions across Medicaid, the Children’s Health Insurance Program (CHIP), Medicare, and Marketplace plans._197ee5ca-d003-11ec-ae44-26d52083ea00Task 1.1.1.2_fa25584e-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_7[To be determined]TerritoriesProvide support and assistance to the five U.S. Territories—American Samoa, the Commonwealth of the Northern Mariana Islands, Guam, Puerto Rico, and the U.S. Virgin Islands—to comply with federal requirements of the Affordable Care Act and Medicaid to meet the healthcare needs of their populations._197eeaca-d003-11ec-ae44-26d52083ea00Task 1.1.1.3American SamoaCommonwealth of the Northern Mariana IslandsGuamPuerto RicoU.S. Virgin Islands_fa2567c6-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_8[To be determined]ChoicesEmpower consumers with choices for high quality healthcare coverage_197eecdc-d003-11ec-ae44-26d52083ea00Strategy 1.1.2_fa2588dc-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_9[To be determined]TransparencyImprove transparency of choice and access to available health coverage options, including Medicare, Medicaid, and Marketplace plans, for all consumers seeking or exploring coverage options._197eee30-d003-11ec-ae44-26d52083ea00Tactic 1.1.2.1_fa25b2e4-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_10[To be determined]Partnerships & CollaborationsPromote partnerships and collaborations with states to provide and monitor equitable and timely access to Medicaid and CHIP providers and services._197ef218-d003-11ec-ae44-26d52083ea00Tactic 1.1.2.2StatesMedicaid ProvidersCHIP Providers_fa25c586-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_11[To be determined]Eligibility, Screening & LiteracyFacilitate enhanced understanding of eligibility, improved screening, and health insurance literacy to bolster enrollment and coverage of underserved populations._197ef420-d003-11ec-ae44-26d52083ea00Tactic 1.1.2.3_fa25e750-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_12[To be determined]EnrollmentLeverage knowledge and partnerships to increase health coverage enrollment _197ef574-d003-11ec-ae44-26d52083ea00Strategy 1.1.3_fa260ed8-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_13[To be determined]Technical AssistanceSupport states, tribes, territories, grantees, faith-based organizations, and other federal award recipients through technical assistance and capacity building to expand pathways to high-quality healthcare coverage for all populations._197ef95c-d003-11ec-ae44-26d52083ea00Tactic 1.1.3.1StatesTribesTerritoriesGranteesFaith-Based OrganizationsFederal Award Recipients_fa261c98-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_14[To be determined]CapacityBuild the capacity of organizations to navigate the changing healthcare landscape to better support their clients to access and use their health coverage to improve health outcomes._197efb6e-d003-11ec-ae44-26d52083ea00Tactic 1.1.3.2_fa263b88-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_15[To be determined]MonitoringMonitor enrollment and retention of eligible individuals in Medicaid, CHIP, Qualified Health Plans through the Marketplace, and the individual and small group market broadly to improve enrollment in high-quality comprehensive coverage and reduce health disparities._197efccc-d003-11ec-ae44-26d52083ea00Tactic 1.1.3.3_fa26641e-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_16[To be determined]ResearchSupport research, including the application of findings and lessons learned, related to the cost effectiveness and affordability of insurance coverage for diverse populations._197f02a8-d003-11ec-ae44-26d52083ea00Tactic 1.1.3.4_fa267116-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_17[To be determined]Services, Devices & DrugsReduce costs, improve quality of healthcare services, and ensure access to safe medical devices and drugs_bca60088-cf47-11ec-89c9-1e9f0283ea001.2Contributing OpDivs and StaffDivsAHRQ, ASPE, CDC, CMS, FDA, HRSA, IHS, NIH, OASH, ONC, and SAMHSA work to achieve this objective. HHS OpDivs and StaffDivs engage and work with a broad range of partners and stakeholders to implement the strategies and achieve this Objective. They include: the Accelerating Medicines Partnership (AMP), Advisory Commission on Childhood Vaccines, Advisory Committee on Immunization Practices (ACIP), American Indian/Alaska Native Center, Bespoke Gene Therapy Consortium, FDA CDER Professional Affairs and Stakeholder Engagement, Materials Genome Initiative, Medicaid and CHIP (MAC) Learning Collaboratives, Mutual Recognition Initiative, National Advisory Council (NAC), National Vaccine Advisory Committee (NVAC), Regenerative Medicine Innovation Project (RMIP), and World Health Organization Member State Mechanism.AHRQASPECDCCMSFDAHRSAIHSNIHOASHONCSAMHSAHHS supports strategies to reduce costs, improve quality of healthcare services, and ensure access to safe medical devices and drugs for everyone. HHS develops and implements payment models in partnership with healthcare providers and establishes other incentives to improve quality care while reducing healthcare spending. HHS implements and assesses approaches to improve healthcare quality, and address disparities in healthcare quality, treatment, and outcomes. The Department also improves patient safety, strengthens access to safe and effective medical products and devices, and expands approaches to safely exchange information among patients, providers, and payers. ^ ^ Performance Goals ~ The HHS Annual Performance Plan provides information on the Department’s measures of progress towards achieving the goals and objectives described in the HHS Strategic Plan for FY 2022–2026. Below are the related performance measures for this Objective.Performance Measure 1.2.1Drug Costs_fa2690d8-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_18Reduce the average out-of-pocket share of prescription drug costs while in the Medicare Part D Prescription Drug Benefit coverage gap for non-Low Income Subsidy (LIS) Medicare beneficiaries who reach the gap and have no supplemental coverage in the gapStatusReduced[To be determined]Performance Measure 1.2.2APM DollarsPercentage_3cb5bb54-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_19Increase the percentage of Medicare healthcare dollars tied to Alternate Payment Models (APMs) incorporating downside riskStatusIncreased[To be determined]Performance Measure 1.2.3ANDA ActionsPercentage_3cb5c8c4-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_20Review and act on 90 percent of standard original Abbreviated New Drug Application (ANDA) submissions within 10 months of receiptStatus90[To be determined]Performance Measure 1.2.4Resources & ToolsNumber_3cb5e9b2-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_21Increase the cumulative number of evidence-based resources and tools available to improve the quality of healthcare and reduce the risk of patient harmIncreased[To be determined]Performance Measure 1.2.5 Healthcare CentersPercentage_3cb608fc-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_22Percentage of health centers with at least one site recognized as a patient centered medical home[To be determined]Performance Measure 1.2.6CommunitiesNumber_3cb6157c-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_23Increase the number of communities that have access to tele-behavioral health services where access did not exist in the community prior to Telehealth Network Grant Program grantStatusIncreased[To be determined]Performance Measure 1.2.7Service SitesNumber_3cb6325a-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_24For the Title X program, number of service sites that participate in the programStatus[To be determined]Payments & IncentivesPartner with providers to develop payment models and other incentives to expand options for quality care at lower costs_197f0578-d003-11ec-ae44-26d52083ea00Strategy 1.2.1_fa26b78e-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_25[To be determined]RecruitmentCollaborate with states, community-based organizations, and other stakeholders to design innovative, targeted, value-based payment models to increase recruitment of providers that care for predominantly underserved populations and provide them with support to improve their awareness of the benefits of alternative payment models that aim to decrease health inequities._197f0708-d003-11ec-ae44-26d52083ea00Tactic 1.2.1.1StatesCommunity-Based Organizations_fa26c404-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_26[To be determined]DeliveryPartner with private payers, states, and other regional healthcare organizations to move primary care providers away from fee-for-service and into payment models that support the delivery of effective, comprehensive, patient-centered care for their patients through the testing of models that reward providers for delivering high-quality care, improve health outcomes, and advance health equity._197f0b22-d003-11ec-ae44-26d52083ea00Tactic 1.2.1.2Private PayersStatesRegional Healthcare Organizations_fa26e592-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_27[To be determined]ValueSupport states’ efforts to shift toward more value-based payments in their Medicaid and Children's Health Insurance Program (CHIP) Programs._197f0d52-d003-11ec-ae44-26d52083ea00Tactic 1.2.1.3StatesMedicaid ProgramsChildren's Health Insurance Program (CHIP) Programs_fa270ae0-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_28[To be determined]MetricsPartner with states and external quality measure development experts to define and encourage use of a core set of metrics to measure provider effectiveness in Medicaid, CHIP, and pay-for-performance programs, including reliable metrics of access to care, gaps in care, disparities, health equity, and achieving positive outcomes for all populations._197f0f14-d003-11ec-ae44-26d52083ea00Tactic 1.2.1.4StatesQuality Measure Development Experts_fa271710-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_29[To be determined]Quality & DisparitiesImplement and assess approaches to improve healthcare quality, and address disparities in healthcare quality, treatment, services, and outcomes_197f1392-d003-11ec-ae44-26d52083ea00Strategy 1.2.2_fa273682-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_30[To be determined]Culture & LinguisticsPromote and support implementation of the National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care by health professionals, health systems and organizations and in HHS programs to improve the quality of care and reduce health disparities by ensuring the provision of services that are respectful of and responsive to individuals’ health needs, preferences, culture, and preferred language._197f1608-d003-11ec-ae44-26d52083ea00Tactic 1.2.2.1_fa275d74-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_31[To be determined]MetricsImprove healthcare quality by defining and tracking progress on core clinical measures that target high-priority health conditions and services, such as cancer, chronic disease, prenatal care, HIV screening, antimicrobial resistance, and immunizations._197f181a-d003-11ec-ae44-26d52083ea00Tactic 1.2.2.2_fa277390-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_32[To be determined]Clinical DecisionsBetter understand the barriers and obstacles to using clinical decision support tools that improve health outcomes in healthcare settings._197f1dc4-d003-11ec-ae44-26d52083ea00Tactic 1.2.2.3_fa279212-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_33[To be determined]EquityImplement equity impact strategies to support data-driven quality improvement approaches to identify and address health disparities in access to, use of, and outcomes from programs and policies among underserved populations._197f2062-d003-11ec-ae44-26d52083ea00Tactic 1.2.2.4_fa27b904-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_34[To be determined]Disparities & BarriersAssess treatment and service utilization to identify disparities in and barriers to access to effective, appropriate, and quality treatment and services for underserved populations, and implement policies to address identified disparities while assessing progress made toward narrowing the gap._197f21fc-d003-11ec-ae44-26d52083ea00Tactic 1.2.2.5Underserved Populations_fa27c66a-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_35[To be determined]Telehealth & TelemedicineSupport research and evaluation of expanded use and availability of telehealth and telemedicine, including effects on quality, access, costs, reimbursement, and care outcomes and harms, to inform the long-term approach to using telehealth and to improve access to care for underserved populations._197f271a-d003-11ec-ae44-26d52083ea00Tactic 1.2.2.6_fa27edfc-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_36[To be determined]QualityEngage stakeholders from underserved populations to provide opportunities for input to inform program and policy efforts to improve healthcare quality._197f297c-d003-11ec-ae44-26d52083ea00Tactic 1.2.2.7_fa28150c-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_37[To be determined]ConsultationEngage in Tribal and Urban Indian Organization consultation and confer on what improving quality healthcare services mean._197f2b16-d003-11ec-ae44-26d52083ea00Tactic 1.2.2.8TribesUrban Indian Organizations_fa282222-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_38[To be determined]SafetyStrengthen patient safety improvements and access to affordable medications and medical products to reduce spending for consumers and throughout the healthcare system_197f302a-d003-11ec-ae44-26d52083ea00Strategy 1.2.3_fa284108-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_39[To be determined]Risks, Hazards &armCollaborate with partners and stakeholders to identify, design, implement, evaluate, and sustain patient safety improvements that address patient risks, hazards, and harm._197f328c-d003-11ec-ae44-26d52083ea00Tactic 1.2.3.1_fa286764-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_40[To be determined]ResearchSupport patient safety research to prevent threats to patient safety including healthcare-associated infections._197f3430-d003-11ec-ae44-26d52083ea00Tactic 1.2.3.2_fa287434-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_41[To be determined]Drugs, Biologics & DevicesImprove access to safe and effective prescription drugs, biologics, and medical devices, and lower costs by promoting generic and biosimilar competition, developing over-the-counter medical products, and providing discounts on medicines to safety-net hospitals and clinics._197f38cc-d003-11ec-ae44-26d52083ea00Tactic 1.2.3.3_fa2892e8-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_42[To be determined]ProductsEnsure equitable, adequate, and continued access to safe and effective medical products by developing novel approaches to increase domestic manufacturing capacity, agility, and efficiency, including through partnerships._197f3b2e-d003-11ec-ae44-26d52083ea00Tactic 1.2.3.4_fa28ba0c-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_43[To be determined]Supply ChainsEnsure continued access to safe medical devices and drugs by assessing the role of foreign and U.S. supply chains in addressing shortages of drugs, medical devices, or required ingredients and components, and providing options for strengthening and improving coordination of global supply chain systems._197f3cd2-d003-11ec-ae44-26d52083ea00Tactic 1.2.3.5_fa28c74a-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_44[To be determined]InnovationFoster innovation by supporting public-private research and prioritizing payment and service delivery models that test ways to reduce program and beneficiary spending on prescription drugs, support increased utilization of biosimilars and generic drugs, and lower overall spending while improving quality and beneficiary health._197f4146-d003-11ec-ae44-26d52083ea00Tactic 1.2.3.6_fa28e6da-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_45[To be determined]Information ExchangeExpand approaches to safely and securely exchange health information between patients, providers, and payers_197f43bc-d003-11ec-ae44-26d52083ea00Strategy 1.2.4Tactic 1.2.4.1Enable individuals to access their health information by ensuring they can view and interact with their data via secure mobile apps, patient portals, and other technologies. Promote interoperability and data sharing through consensus-based standards to ensure health information, including social determinants of health information, is available for care across settings, public health, research, and emergency and disaster preparedness, response, and recovery._fa291466-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_46[To be determined]AccessExpand equitable access to comprehensive, community-based, innovative, and culturally-competent healthcare services while addressing social determinants of health_bca60146-cf47-11ec-89c9-1e9f0283ea001.3Contributing OpDivs and StaffDivsACL, AHRQ, ASPE, CDC, CMS, HRSA, IHS, NIH, SAMHSA, OASH, and OCR work to achieve this objective.ACLAHRQASPECDCCMSHRSAIHSNIHSAMHSAOASHOCRHHS PartnersHHS OpDivs and StaffDivs engage and work with a broad range of partners and stakeholders to implement the strategies and achieve this Objective. They include:Advisory Committee on HIV, Viral Hepatitis and STD Prevention and TreatmentAdvisory Committee on Heritable Disorders in Newborns and ChildrenAdvisory Committee on Infant MortalityAdvisory Committee on Minority HealthAdvisory Committee on Organ TransplantationAdvisory Council on Blood Stem Cell TransplantationCross Federal Workgroup on TelehealthFederal Partners Workgroup to Improve Maternal HealthFederal Sudden Infant Death Syndrome/Sudden Unexpected/Unexplained Infant Death WorkgroupHHS Language Access Steering CommitteeInterdepartmental Health Equity CollaborativeNational Advisory Committee on Rural Health and Human ServicesNational Advisory Council on Migrant HealthNational Advisory Council on the National Health Service CorpsNational Committee on Heroin, Opioids, and Pain EffortsPresidential Advisory Commission on Asian Americans, Native Hawaiians, and Pacific IslandersWhite House Initiative on Asian AmericansNative Hawaiians, and Pacific IslandersU.S. Department of Veterans AffairsHHS invests in strategies to expand equitable access to comprehensive, community-based, innovative, and culturally- and linguistically-appropriate healthcare services while addressing social determinants of health. HHS supports community-based healthcare services to meet the diverse healthcare needs of underserved populations while removing barriers to access to advance health equity and reduce disparities. The Department also works to understand how to best address social determinants of health in its programs. ^ ^ Performance Goals The HHS Annual Performance Plan provides information on the Department’s measures of progress towards achieving the goals and objectives described in the HHS Strategic Plan for FY 2022–2026. Below are the related performance measures for this Objective.Performance Measure 1.3.1Health ActivitiesNumber_fa292258-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_47Total number of IHS public health activities captured by the Public Health Nursing (PHN) data system; emphasis on primary, secondary, and tertiary prevention activities to individuals, families, and community groupsStatus[To be determined]Performance Measure 1.3.2Underserved PopulationPercentage_3cb65118-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_48Percentage of underserved population accessing mental health and substance use servicesStatus[To be determined]Performance Measure 1.3.3Vulnerable People at HomeLikelihood_3cb65b72-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_49Increase the likelihood that the most vulnerable people receiving Older Americans Act Home and Community-based and Caregiver Support Services will continue to live in their homes and communitiesStatusIncreased[To be determined]Performance Measure 1.3.4Prenatal Care PatientsPercentage_3cb67d6e-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_50Percentage of pregnant health center patients beginning prenatal care in the first trimesterStatus[To be determined]Performance Measure 1.3.5 Compliance Reviews_3cb6a6ae-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_51In collaboration with FEMA and DHS, OCR (Agencies) will conduct compliance reviews of select state COVID-19 vaccine provider programs to determine whether their services are being provided free of discrimination on the basis of race or national origin (including limited English proficient (LEP) persons and communities)StatusConducted[To be determined]HealthcareSupport community-based services to meet the diverse healthcare needs of underserved populations_197f4574-d003-11ec-ae44-26d52083ea00Strategy 1.3.1Underserved Populations_fa294152-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_52[To be determined]Primary HealthcareDeliver safe, equitable, affordable, accessible, quality, value-based primary healthcare to underserved populations through health centers and other community providers._197f4a1a-d003-11ec-ae44-26d52083ea00Tactic 1.3.1.1Underserved PopulationsHealth CentersCommunity Providers_fa296bb4-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_53[To be determined]COVID-19Address COVID-19 related health disparities and advance health equity by expanding state, tribal, local, territorial, and freely associated state health department capacity and services to improve and increase testing, vaccination, contact tracing and treatment to prevent and control COVID-19 infection or transmission. _197f4d76-d003-11ec-ae44-26d52083ea00Tactic 1.3.1.2State Health DepartmentsTribal Health DepartmentsLocal Health DepartmentsTerritorial Health DepartmentsFreely Associated State Health Departments_fa297b54-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_54[To be determined]WomenEnsure the provision of safe, culturally- and linguistically-appropriate care and services for women, with dedicated focus on African American/Black and American Indian/Alaska Native women and people with lower incomes, during maternal, prenatal, perinatal, and postpartum periods of life, including raised awareness of pregnancy-related risk factors and available benefits._197f4f6a-d003-11ec-ae44-26d52083ea00Tactic 1.3.1.3WomenAfrican American/Black Native WomenAmerican Indian/Alaska Native WomenPeople with Lower Incomes_fa299d46-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_55[To be determined]Pre- & Post-Natal CareWork with tribal nations and Urban Indian Health programs to expand and improve pre- and post-natal care on Indian reservations and Urban Indian centers to reduce disparities in maternal and infant mortality and morbidity._197f5438-d003-11ec-ae44-26d52083ea00Tactic 1.3.1.4Tribal NationsUrban Indian Health ProgramsIndian ReservationsUrban Indian Centers_fa29f868-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_56[To be determined]Care & TreatmentPromote partnerships to implement programs and outreach that focus on raising awareness and rapidly linking affected individuals to relevant care and treatment services, including persons harmed by substance use disorders, and persons with HIV._197f57bc-d003-11ec-ae44-26d52083ea00Tactic 1.3.1.5_fa2a0b28-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_57[To be determined]PregnancyPromote linkages to treatment and interventions aimed at reducing exposure and excessive use of alcohol and other substances to achieve healthier outcomes, including optimal pregnancy outcomes._197f5c12-d003-11ec-ae44-26d52083ea00Tactic 1.3.1.6_fa2a2ae0-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_58[To be determined]Oral HealthcareExpand access to oral healthcare, including diagnostic, preventive, and restorative services, and healthcare settings that provide oral healthcare, and promote collaborative practices to integrate oral health and primary care to improve health outcomes. _197f6108-d003-11ec-ae44-26d52083ea00Tactic 1.3.1.7_fa2a5a88-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_59[To be determined]Sexual & Reproductive HealthContinue to expand equitable access to quality sexual and reproductive health services, including family planning services._197f63b0-d003-11ec-ae44-26d52083ea00Tactic 1.3.1.8_fa2a69ba-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_60[To be determined]Rural AreasContinue to promote and support programs that invest in rural collaborations and encourage efforts designed to improve rural healthcare system capacity and infrastructure to facilitate delivery of equitable healthcare services that can comprehensively address the health, social, and economic needs of a wide range of population groups._197f65a4-d003-11ec-ae44-26d52083ea00Tactic 1.3.1.9Rural Areas_fa2a8c42-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_61[To be determined]TransplantsExtend and enhance the lives of individuals in all communities through improving equitable access to safe organ transplantation, bone marrow transplants, and cord blood transplants._197f6a68-d003-11ec-ae44-26d52083ea00Tactic 1.3.1.10_fa2ab2c6-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_62[To be determined]TelehealthImprove access to community-based care by supporting appropriate retention of telehealth flexibilities implemented for the COVID-19 pandemic, increasing access to broadband, and providing technical assistance, training and information for patients and providers on the use of telehealth technologies._197f6d10-d003-11ec-ae44-26d52083ea00Tactic 1.3.1.11_fa2ac234-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_63[To be determined]TechnologyFacilitate the delivery of technology-based interventions and innovations, including the development and dissemination of electronic health record standards, to enable interoperable data exchange across health and community service providers and emerging artificial intelligence solutions to improve care management._197f6f0e-d003-11ec-ae44-26d52083ea00Tactic 1.3.1.12_fa2ae2be-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_64[To be determined]Equity & DisparitiesRemove barriers to healthcare access to advance health equity and reduce disparities_197f7530-d003-11ec-ae44-26d52083ea00Strategy 1.3.2_fa2b0d2a-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_65[To be determined]Culture & LinguisticsBuild capacity of resource centers, healthcare organizations and the health workforce to reduce health and healthcare disparities, including cultural competence capacity to provide culturally and linguistically appropriate services (CLAS)._197f7828-d003-11ec-ae44-26d52083ea00Tactic 1.3.2.1_fa2b1d60-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_66[To be determined]CLAS StandardsPromote adoption of national CLAS standards to enable providers to demonstrate cultural humility through self-awareness and communicate in ways that consider the cultural, health literacy, and language access services needs of their patients._197f7a26-d003-11ec-ae44-26d52083ea00Tactic 1.3.2.2_fa2b3d36-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_67[To be determined]Patient SafetyIn collaboration with private and non-profit organizations, develop patient safety bundles and decision aids like protocols and checklists for health conditions that disproportionally affect underserved populations and work with national accreditation organizations to promote their use in clinics across the nation._197f7fbc-d003-11ec-ae44-26d52083ea00Tactic 1.3.2.3PatientsUnderserved PopulationsNational Accreditation OrganizationsPrivate OrganizationsNon-Profit Organizations_fa2b63ba-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_68[To be determined]Causes & RisksCollect, use, and monitor data on the prevalence, causes, and risks of social, environmental, and biological conditions, and establish partnerships between healthcare providers and community-based social service organizations to address social determinants of health._197f8282-d003-11ec-ae44-26d52083ea00Tactic 1.3.2.4Healthcare ProvidersCommunity-Based Social Service Organizations_fa2b71de-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_69[To be determined]Action PlansSupport state, local, tribal, and territorial jurisdictions to develop multi-sector action plans to address social determinants of health, in sectors such as housing, transportation, and social services, and accelerate actions that lead to improved chronic disease outcomes among persons experiencing health disparities and inequities in communities with the poorest health outcomes._197f84bc-d003-11ec-ae44-26d52083ea00Tactic 1.3.2.5State JurisdictionsLocal JurisdictionsTribal JurisdictionsTerritorial Jurisdictions_fa2b9150-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_70[To be determined]Individuals with DisabilitiesCollaborate with providers, health plans, patient advocates for people with disabilities, and other healthcare stakeholders to identify and remove barriers that individuals with disabilities face in accessing current and new services, procedures, and coverage._197f89d0-d003-11ec-ae44-26d52083ea00Tactic 1.3.2.6Individuals with DisabilitiesProvidersHealth PlansPatient Advocates_fa2bbfc2-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_71[To be determined]HousingIncrease access to affordable, accessible housing, and other services that address unmet social needs that contribute to poor health outcomes and reduce unnecessary healthcare expenditures through the HHS and U.S. Department of Housing and Urban Development housing partnership and other partnerships._197f8ca0-d003-11ec-ae44-26d52083ea00Tactic1.3.2.7U.S. Department of Housing and Urban Development_fa2bcdf0-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_72[To be determined]Planning & ImplementationEngage community members to provide input to plan and implement services and programs and conduct participatory research to ensure that activities are tailored and responsive to community needs._197f8eb2-d003-11ec-ae44-26d52083ea00Tactic 1.3.2.8Community Members_fa2bf0dc-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_73[To be determined]Social DeterminantsUnderstand barriers to access and the impacts of social determinants of health to develop evidence-based community-based healthcare service delivery models_197f93c6-d003-11ec-ae44-26d52083ea00Strategy 1.3.3_fa2c1b84-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_74[To be determined]DataExpand efforts to collect data that improves understanding of the social determinants of health and their implications for delivering equitable and effective health, public health, and human service programs._197f9696-d003-11ec-ae44-26d52083ea00Tactic 1.3.3.1_fa2c298a-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_75[To be determined]Delivery ModelsPartner with healthcare organizations, healthcare providers, social service organizations, and other organizations to identify, develop and implement evidence-based community-based healthcare service delivery models to support whole person integrated and coordinated care to improve physical health and behavioral health outcomes_197f98b2-d003-11ec-ae44-26d52083ea00Tactic 1.3.3.2CommunitiesHealthcare OrganizationsHealthcare ProvidersSocial Service Organizations_fa2c4a78-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_76[To be determined]Community-Based ServiceSupport community-based participatory research, and other research approaches, to examine and improve the effectiveness of community-based service delivery models, in improving health outcomes across populations, including collecting and stratifying data based on race, ethnicity, national origin (including primary language), sex, sexual orientation, gender identity, and pregnancy, age, disability status, and other population variables._197f9ea2-d003-11ec-ae44-26d52083ea00Tactic 1.3.3.3_fa2c72c8-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_77[To be determined]TelehealthSupport research on telehealth to answer questions related to how it affects access, equity, quality, and costs of care, including for underserved populations._197fa17c-d003-11ec-ae44-26d52083ea00Tactic 1.3.3.4_fa2c818c-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_78[To be determined]Behavioral HealthDrive the integration of behavioral health into the healthcare system to strengthen and expand access to mental health and substance use disorder treatment and recovery services for individuals and families_bca614e2-cf47-11ec-89c9-1e9f0283ea001.4Contributing OpDivs and StaffDivsACL, ASPE, AHRQ, CDC, CMS, FDA, HRSA, IHS, NIH, OASH, OCR, OGA, and SAMHSA work to achieve this objective.ACLASPEAHRQCDCCMSFDAHRSAIHSNIHOASHOCROGASAMHSAHHS PartnersHHS OpDivs and StaffDivs engage and work with a broad range of partners and stakeholders to implement the strategies and achieve this Objective. They include:Duke Margolis Center for Health PolicyNational Drug Control Strategy Recovery ChapterOpioid Rapid Response Program (ORRP) Interagency CollaborationReagan-Udall FoundationSubstance Abuse and Mental Health Service Administration Technical Advisory CommitteeHHS supports strategies to drive the integration of behavioral health into the healthcare system to strengthen and expand access to mental health and substance use disorder treatment and recovery services for individuals and families across all settings. HHS is enhancing the ability to serve those in need of behavioral health services by exchanging data, information, and resources while expanding evidence-based integrated systems of behavioral and physical healthcare to improve equitable access to quality care. HHS is also engaging and educating healthcare providers, healthcare professionals, paraprofessionals, other health workforce professionals, and students in these professions to build their practice competence and capacity to address the behavioral and physical health needs of individuals, families, caregivers, and communities. ^ ^ Performance Goals ~ The HHS Annual Performance Plan provides information on the Department’s measures of progress towards achieving the goals and objectives described in the HHS Strategic Plan for FY 2022–2026. Below are the related performance measures for this Objective.Performance Measure 1.4.1People TrainedNumber_fa2ca31a-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_79Number of people trained for the support of the recovery community organizations and peer support networksStatus[To be determined]Performance Measure 1.4.2Data AvailableAmount_3cb6b446-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_80Increase the cumulative amount of publicly available data on 1) Opioid-Related Hospital Use, 2) 900 Neonatal Abstinence Syndrome (NAS), and 3) outpatient use of opioidsStatusIncreased[To be determined]Performance Measure 1.4.3ProvidersNumber_3cb6d9bc-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_81Number of providers who have provided Medication-Assisted TreatmentStatus[To be determined]Performance Measure 1.4.4EventsNumber_3cb70464-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_82Number of outreach events to provide training and technical assistance to healthcare providers, healthcare professionals, and paraprofessionals on providing healthcare services free of disability discrimination against persons receiving medication assisted treatment (MAT) for substance abuse disorder and on protecting the confidentiality and care coordination of behavioral health through HIPAAStatus[To be determined]Cost & QualityStrengthen a fragmented behavioral and physical health system to reduce costs, enhance quality care and patient and consumer experience, and improve mental health and substance use disorder outcomes for individuals, families, and caregivers_197fa3a2-d003-11ec-ae44-26d52083ea00Strategy 1.4.1_fa2cca16-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_83[To be determined]Policy LeversUse existing policy levers to encourage clinically-effective integrated care models (e.g., financial incentives to support multidisciplinary team care or co-location of services.)_197fa8f2-d003-11ec-ae44-26d52083ea00Tactic 1.4.1.1_fa2cd7ea-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_84[To be determined]AccessIncrease equitable access to care, including bi-directional integration, where physical and behavioral health providers coordinate and deliver care, wrap-around services, and expand telehealth options. _197fac12-d003-11ec-ae44-26d52083ea00Tactic 1.4.1.2_fa2cf7d4-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_85[To be determined]Science, Data & EvidenceExamine how science, data, and evidence support and inform programs and policies across HHS that prioritize behavioral and physical health integration._197fae56-d003-11ec-ae44-26d52083ea00Tactic 1.4.1.3_fa2d1e94-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_86[To be determined]Integrated SystemsExpand evidence-based integrated systems of behavioral and physical healthcare to improve equitable access to quality care_197fb3b0-d003-11ec-ae44-26d52083ea00Strategy 1.4.2_fa2d2bb4-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_87[To be determined]Crisis ServicesAssist states and communities with the development and implementation of effective 365/24/7 crisis services and systems, including quick, easy, and reliable access to emotional support and crisis counselling, community-based mobile crisis intervention services, and community-based crisis stabilization services outside of emergency care settings._197fb6a8-d003-11ec-ae44-26d52083ea00Tactic 1.4.2.1StatesCommunities_fa2d4cd4-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_88[To be determined]Payment ModelsExpand payment models to support integration of behavioral health and physical healthcare to include other qualified provider types and modalities, including telehealth, across HHS healthcare programs and public payers._197fb8f6-d003-11ec-ae44-26d52083ea00Tactic 1.4.2.2_fa2d7a10-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_89[To be determined]Care ModelsSupport states, tribal, local, territorial, and rural communities to access and develop resources and processes to facilitate wider use of effective evidence-based integrated care models._197fbe5a-d003-11ec-ae44-26d52083ea00Tactic 1.4.2.3StatesTribal CommunitiesLocal CommunitiesTerritorial CommunitiesRural Communities_fa2d8c62-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_90[To be determined]Educational ResourcesPromote the development of effective educational resources and dissemination approaches to improve public understanding of mental and substance use disorders and when to seek treatment, with a focus on efforts to effectively address overdose death, death by suicide, and non-fatal self-harm._197fc1fc-d003-11ec-ae44-26d52083ea00Tactic 1.4.2.4_fa2daab2-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_91[To be determined]Integrated HealthConnect physical health and behavioral health communities to enhance the ability to serve those in need of integrated health services by exchanging data, information, and resources_197fc454-d003-11ec-ae44-26d52083ea00Strategy 1.4.3_fa2dd262-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_92[To be determined]Performance MeasuresFacilitate collaborations with health officials, behavioral health authorities, and national provider networks to develop sustainable activities and pathways to integration with common performance measures that help to achieve standards of excellence in integrated care._197fc99a-d003-11ec-ae44-26d52083ea00Tactic 1.4.3.1Health OfficialsBehavioral Health AuthoritiesNational Provider Networks_fa2de162-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_93[To be determined]E-Health RecordsIdentify opportunities to expand linkage and use of electronic health records and other related data to identify unmet needs and help improve access, equity, quality, and value._197fccb0-d003-11ec-ae44-26d52083ea00Tactic 1.4.3.2_fa2e0084-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_94[To be determined]Evidence & Best PracticesPromote research to build the evidence base and inform best practices, including implementation science research to support the scaling up of effective models to identify and treat behavioral and physical health issues of individuals in all healthcare settings, including primary care._197fcf80-d003-11ec-ae44-26d52083ea00Tactic 1.4.3.3_fa2e2c8a-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_95[To be determined]Diversity & EquityStrengthen health equity research to highlight the diversity of populations, communities and researchers and to ensure that evidence-based treatments are available across race, ethnicity, national origin (including primary language), sex, sexual orientation, gender identity, pregnancy, geographic location, and other demographics_197fd5ac-d003-11ec-ae44-26d52083ea00Tactic 1.4.3.4_fa2e3a04-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_96[To be determined]Competence & CapacityEngage and educate healthcare providers, healthcare professionals, paraprofessionals, other health workforce professionals, and students in these professions to build their practice competence and capacity to address the mental health and substance use disorder needs of individuals, families, and communities_197fd8e0-d003-11ec-ae44-26d52083ea00Strategy 1.4.4Healthcare ProvidersHealthcare ProfessionalsHealthcare ParaprofessionalsHealth Workforce ProfessionalsStudents_fa2e5a8e-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_97[To be determined]Interdisciplinary CareSupport a health workforce including community health workers and peer support specialists knowledgeable in behavioral and physical health interdisciplinary care._197fdb38-d003-11ec-ae44-26d52083ea00Tactic 1.4.4.1Health Workforce_fa2e81c6-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_98[To be determined]Physical HealthEnhance the capacity of physical health providers to assess, screen, and treat behavioral health conditions by increasing access to treatments for substance use disorders and other disorders and assisting behavioral health providers to coordinate with individuals, families, caregivers, and communities on physical health needs._197fe0c4-d003-11ec-ae44-26d52083ea00Tactic 1.4.4.2Physical Health ProvidersBehavioral Health ProvidersIndividualsFamiliesCaregiversCommunities_fa2e8f04-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_99[To be determined]WorkforceBolster the health workforce to ensure delivery of quality services and care_bca615aa-cf47-11ec-89c9-1e9f0283ea001.5Health WorkforceContributing OpDivs and StaffDivsAHRQ, ASPE, CDC, CMS, FDA, HRSA, IHS, OASH, OGA, and SAMHSA work to achieve this objective.AHRQASPECDCCMSFDAHRSAIHSOASHOGASAMHSAHHS PartnersHHS OpDivs and StaffDivs engage and work with a broad range of partners and stakeholders to implement the strategies and achieve this Objective. They include:Advisory Committee on Interdisciplinary Community Based LinkagesAdvisory Committee on Training in Primary Care Medicine and DentistryCouncil on Graduate Medical EducationNational Advisory Council on the National Health Service CorpsNational Advisory Council on Nursing Education and PracticeHHS supports strategies to bolster the health workforce to ensure delivery of quality services and care. HHS is committed to facilitating coordinated efforts to address long-standing barriers to strengthening the health workforce. HHS efforts focus on developing professional development opportunities to learn and use new skills to improve the delivery of quality services and care. HHS is also strengthening the integration of culturally- and linguistically-appropriate and effective care into the services delivered by the health workforce. ^ ^ Performance Goals ~ The HHS Annual Performance Plan provides information on the Department’s measures of progress towards achieving the goals and objectives described in the HHS Strategic Plan for FY 2022–2026. Below are the related performance measures for this Objective.Performance Measure 1.5.1Training SitesPercentage_fa2eb04c-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_100Percent of clinical training sites that provide interprofessional training to individuals enrolled in a primary care training programStatus[To be determined]Performance Measure 1.5.2Individuals SupportedPercentage_3cb70e96-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_101Percent of individuals supported by the Bureau of Health Workforce who completed a primary care training program and are currently employed in underserved areasStatus[To be determined]Performance Measure 1.5.3Officer GrowthPercentage_3cb72a84-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_102Percent growth of USPHS Ready Reserve Officers Year-over-Year (or total officers)Status[To be determined]Health WorkforceFacilitate coordinated efforts to address long-standing barriers to strengthening the health workforce_197fe3e4-d003-11ec-ae44-26d52083ea00Strategy 1.5.1Health Workforce_fa2edc02-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_103[To be determined]Health Workforce Strategic PlanFully implement the HHS Health Workforce Strategic Plan to expand the health workforce supply to meet evolving community needs, while strengthening and diversifying the health workforce, improve the distribution of the health workforce to reduce shortages, enhance healthcare quality through professional development, collaboration, and evidence-informed practice, and promote evidence-based healthcare practice._197fe65a-d003-11ec-ae44-26d52083ea00Tactic 1.5.1This plan, defines the health workforce as follows: the occupations include all healthcare providers with direct patient care and support responsibilities, such as: physicians (including primary care physicians, preventive medicine physicians, and specialty physicians), nurses, nurse practitioners, optometrists, physician assistants, pharmacists, dentists, dental hygienists, and other oral healthcare professionals, allied health professionals, doctors of chiropractic, community health workers, healthcare paraprofessionals, direct support professionals, psychologists and other behavioral and mental health professionals (including substance abuse prevention and treatment providers), social workers, physical and occupational therapists, certified nurse midwives, podiatrists, the EMS workforce (including professional and volunteer ambulance personnel and firefighters who perform emergency medical services), licensed complementary and alternative medicine providers, integrative health practitioners, public health professionals, and any other health professional that the Comptroller General of the United States determines appropriate._fa2eea80-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_104[To be determined]Learning & TrainingDevelop and promote opportunities to learn and use new skills to improve the delivery of quality services and care_197fece0-d003-11ec-ae44-26d52083ea00Strategy 1.5.2_fa2f1136-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_105[To be determined]Global EffortsEngage multilaterally and bilaterally, including through policy leadership and technical expertise, to advance global efforts to protect and invest in the health workforce._197ff028-d003-11ec-ae44-26d52083ea00Tactic 1.5.2.1_fa2f3c88-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_106[To be determined]Medicaid & CHIPPartner with states to develop an access strategy to ensure ample high-quality providers to serve Medicaid and the Children’s Health Insurance Program (CHIP) beneficiaries._197ff2b2-d003-11ec-ae44-26d52083ea00Tactic 1.5.2.2StatesMedicaidChildren’s Health Insurance Program (CHIP)_fa2f4bb0-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_107[To be determined]Access, Quality & OutcomesStrengthen the capacity of community health workers (CHWs), community health aid programs (CHAPs), community health representatives (CHRs) to promote access to services, improve the quality and cultural competence of service delivery, and improve health outcomes by establishing partnerships with other federal departments to encourage use of CHWs in community response._197ff8ac-d003-11ec-ae44-26d52083ea00Tactic 1.5.2.3Federal DepartmentsCommunitiesCommunity Health Workers (CHWs)Community Health Aid Programs (CHAPs)Community Health Representatives (CHRs)_fa2f6c3a-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_108[To be determined]People with DisabilitiesPartner with healthcare organizations, community partners, and other stakeholders to strengthen training to ensure the healthcare workforce can proactively deliver accessible tailored care to people with disabilities._197ffc08-d003-11ec-ae44-26d52083ea00Tactic 1.5.2.4People with DisabilitiesHealthcare WorkforceHealthcare OrganizationsCommunity Partners_fa2f999e-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_109[To be determined]Emergency Medical ServicesProvide support and training at the local level for increased use and availability of community emergency medical services workforce to reduce the use of 911 for routine care, reduce the strain on emergency rooms, and mitigate the spread of the Coronavirus Disease 2019 (COVID-19) and other infections._197ffe9c-d003-11ec-ae44-26d52083ea00Tactic 1.5.2.5Emergency Medical Services Workforce_fa2fa8b2-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_110[To be determined]Best PracticesDevelop and disseminate resources and support convenings to help the health workforce increase its understanding of and access to evidence-informed best practices that improve quality of care and outcomes._19800464-d003-11ec-ae44-26d52083ea00Tactic 1.5.2.6_fa2fc9c8-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_111[To be determined]StandardsSupport national standards for state, tribal, and local health departments._198007c0-d003-11ec-ae44-26d52083ea00Tactic 1.5.2.7State Health DepartmentsTribal Health DepartmentsLocal Health Departments_fa2ff4a2-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_112[To be determined]Occupational Health & SafetySupport academic degree programs and research training opportunities in occupational health nursing, occupational medicine, and related areas to provide qualified personnel to work in industry, labor, academia, and government to improve occupational health and safety for the U.S. workforce._19800a5e-d003-11ec-ae44-26d52083ea00Tactic 1.5.2.8U.S. WorkforceIndustryLaborAcademiaGovernment_fa3003de-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_113[To be determined]Culture & LinguisticsStrengthen the integration of culturally- and linguistically-appropriate and effective care into the services delivered by the health workforce_1980110c-d003-11ec-ae44-26d52083ea00Strategy 1.5.3Health Workforce_fa302a3a-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_114[To be determined]TrainingPartner with states, Federally Qualified Health Centers (FQHC), clinics, colleges, universities, and schools, other community based organizations and the private sector to ensure the health workforce is appropriately and adequately trained with culturally-appropriate, evidence-based strategies and education modules for addressing systemic bias and racism, ableism, ageism, and transphobia to reduce health disparities in the communities they serve._1980147c-d003-11ec-ae44-26d52083ea00Tactic 1.5.3.1Health WorkforceStatesFederally Qualified Health Centers (FQHC)ClinicsCollegesUniversitiesSchoolsCommunity-Based OrganizationsPrivate Sector_fa3053fc-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_115[To be determined]Training, Assistance & CLASCoordinate with grant recipients and other funded partners to support training, technical assistance, and use of the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in health and healthcare and cultural humility as foundations for effective and equitable provision of healthcare._19801724-d003-11ec-ae44-26d52083ea00Tactic 1.5.3.2Grant RecipientsFunded Partners_fa30634c-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_116[To be determined]Equity & InclusionPromote equity and inclusion, including as it relates to race, ethnicity, disability, gender, gender identity, and sexual orientation, in global commitments, resolutions, and strategies affecting the global health workforce._19801d14-d003-11ec-ae44-26d52083ea00Tactic 1.5.3.3_fa308548-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_117[To be determined]Health Conditions & OutcomesSafeguard and Improve National and Global Health Conditions and Outcomes_bca61708-cf47-11ec-89c9-1e9f0283ea002HHS is dedicated to safeguarding and improving health conditions and health outcomes for everyone. The Department improves capabilities to predict, prevent, prepare for, respond to, and recover from disasters, public health and medical emergencies, and threats, domestically and abroad. The Department protects individuals, families, and communities from infectious disease and prevent non-communicable disease through the development and equitable delivery of effective, innovative, readily available, treatments, therapeutics, medical devices, and vaccines. HHS enhances the promotion of healthy behaviors to reduce occurrence and disparities in preventable injury, illness, and death. The Department also mitigates the impacts of environmental factors, including climate change, on health outcomes.Disasters, Emergencies & ThreatsImprove capabilities to predict, prevent, prepare for, respond to, and recover from disasters, public health and medical emergencies, and threats across the nation and globe_bca6185c-cf47-11ec-89c9-1e9f0283ea002.1Contributing OpDivs and StaffDivsACF, ACL, ASPE, ASPR, ATSDR, CDC, CMS, FDA, HRSA, IHS, NIH, OASH, OCR, OGA, and ONC work to achieve this objective.ACFACLASPEASPRATSDRCDCCMSFDAHRSAIHSNIHOASHOCROGAONCHHS PartnersHHS OpDivs and StaffDivs engage and work with a broad range of partners and stakeholders to implement the strategies and achieve this Objective. They includeCenters of Excellence in Regulatory Science and Innovation (CERSI)Cooperative Agreement Grant ProgramCombating Antibiotic-Resistant Bacteria Biopharmaceutical Accelerator (CARB-X)Joint Oversight CommitteeDomestic Mutual RelianceEuropean Medicines Agency (EMA)COVID-19Expert Committee on Biological StandardizationDepartment of Defense (DoD)[MOU 225-19-001]HHS Public Health Emergency Medical Countermeasures Enterprise (PHEMCE)[MOU 225-13-0028]FDA[MOU 225-19-001] [MOU 225-13-0028] [MOU 225-21-006]National Institute of Standards and Technology[MOU 225-21-006]Food Emergency Response Network (FERN)Forum on Medical and Public Health Preparedness for Disasters and EmergenciesGlobal Polio Eradication InitiativeGlobal Regulatory Harmonization and ConvergenceInteragency Board for Emergency Preparedness and ResponseInternational Coalition of Medicines Regulatory Authorities (ICMRA)Measles & Rubella Initiative (M&RI)National Integrated Food Safety System (IFSS)One HealthPediatric ClusterRapid Response TeamsUS-Canada Regulatory Cooperation Council (RCC)WHO Collaborating Centres for Biological StandardizationHHS invests in strategies to predict, prevent, prepare for, respond to, and recover from emergencies, disasters, and threats. HHS leverages opportunities to improve collaboration and coordination, to build capacity and foster readiness for effective emergency and disaster response. HHS advances comprehensive planning for mitigation and response. HHS also applies knowledge gained from the effective and efficient use and application of technology, data, and research to improve preparedness and health and human services outcomes during emergencies and disasters. ^ ^ Performance Goals ~ The HHS Annual Performance Plan provides information on the Department's measures of progress towards achieving the goals and objectives described in the HHS Strategic Plan for FY 2022–2026. Below are the related performance measures for this Objective.Performance Measure 2.1.1CountermeasuresNumber_fa30b5b8-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_118Increase the number of new licensed medical countermeasures across BARDA programsStatusIncreased[To be determined]Performance Measure 2.1.2FETP GraduatesNumber_3cb74cbc-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_119Number of cumulative Field Epidemiology Training Program (FETP) - Frontline graduatesStatus[To be determined]Performance Measure 2.1.3Funding Pathway_3cb758ce-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_120By 2026, establish a formalized funding pathway for the development, validation, and regulatory review of diagnostic technologies to enhance surveillance and pandemic preparednessStatusEstablished[To be determined]Performance Measure 2.1.4AntiviralsNumber_3cb77340-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_121By 2026, advance the preclinical or clinical development of 10 antivirals for current or future infectious disease threatsStatusAdvanced10[To be determined]Collaboration & CoordinationLeverage opportunities for improved collaboration and coordination to strengthen capacity for effective emergency and disaster readiness, response, and recovery _d9870d60-d0db-11ec-84c6-e94c0583ea00Strategy 2.1.1Expand and build HHS support and assistance to state, tribal, local, and territorial partners, and communities to strengthen the capacity and resilience of public health departments and laboratory operations and facilities to meet needs and demand during response and recovery efforts. Strengthen the coordination between domestic and international stakeholders and modernization of programs, policies, guidance, and funding mechanisms to support robust emergency and disaster response planning, infrastructure, and capabilities, including disaster human services capabilities. Foster collaboration between key partners and stakeholders at the federal, state, tribal, local, and territorial levels, including partner organizations like the Federal Emergency Management Agency, private sector organizations, and global partners like the World Health Organization to increase awareness of opportunities to develop integrated guidance and plans as well as fill gaps in service and critical functions necessary to better anticipate, identify, and promptly respond to threats, emergencies, and disasters. Address health disparities and promote trust, and community resilience, especially for underserved communities disproportionately affected by emergencies, by improving engagement and collaboration across federal, state, tribal, local, and territorial stakeholders and community organizations, and with relevant international partners, ensuring response efforts are informed by health and human services equity principles. Focus resources on developing the capacity of the HHS emergency response workforce through effective training and technical assistance to improve the Department's readiness to meet the needs and demands of all communities they support during emergency response and recovery efforts._fa30c67a-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_122[To be determined]Mitigation & ResponsePlan for mitigation and response, including the communication and dissemination of information, the development and availability of medical countermeasures, and the use of regulatory flexibilities_d9871fbc-d0db-11ec-84c6-e94c0583ea00Strategy 2.1.2_fa30e862-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_123[To be determined]CountermeasuresAdvance the development and availability of safe effective medical countermeasures to support preparedness and response efforts, and maximize their effective use by providing comprehensive and accessible guidance and public health communications to critical partners, including distribution and response networks, academic partners, hospital systems, clinical organizations, and the public._d9872dfe-d0db-11ec-84c6-e94c0583ea00Tactic 2.1.2.1_fa31185a-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_124[To be determined]Supply ChainBuild a diverse, agile U.S. public health supply chain while sustaining long-term domestic manufacturing capability for medical countermeasures and medical products to reduce and prevent shortages and ensure continuous supply during times of need._d9874118-d0db-11ec-84c6-e94c0583ea00Tactic 2.1.2.2_fa312854-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_125[To be determined]Waivers & SystemsEnsure that HHS is prepared to make effective use of available waiver options and systems in place to expand and maximize flexibilities when a public health emergency is declared, ensuring response efforts can scale to readily support communities._d98747ee-d0db-11ec-84c6-e94c0583ea00Tactic 2.1.2.3_fa314ae6-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_126[To be determined]FlexibilitiesFacilitate communication and coordination with public and private partners to leverage existing flexibilities and make new flexibilities available for the benefit of response efforts during a public health emergencies and disasters._d9875108-d0db-11ec-84c6-e94c0583ea00Tactic 2.1.2.4Public PartnersPrivate Partners_fa3176f6-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_127[To be determined]PartnershipsLeverage and expand partnerships with state, tribal, local, and territorial partners and community-based, faith-based, and non-profit organizations as well as international partners to generate and disseminate risk communication and outreach materials that are evidence-based and culturally appropriate to improve awareness, knowledge, and uptake of mitigation measures during emergencies and disasters._d98760f8-d0db-11ec-84c6-e94c0583ea00Tactic 2.1.2.5State PartnersTribal PartnersLocal PartnersTerritorial PartnersCommunity-Based OrganizationsFaith-Based OrganizationsNon-Profit OrganizationsInternational Partners_fa31879a-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_128[To be determined]CommunicationsDisseminate consistent and plain language communications to ensure affected individuals and communities, including those living or working in high-risk areas, are notified in a timely, culturally-tailored manner to minimize risk and ensure their safety._d9876788-d0db-11ec-84c6-e94c0583ea00Tactic 2.1.2.6_fa31a93c-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_129[To be determined]PHIBEnsure the resilience of the public health industrial base (PHIB) supply chain with improvements in the robustness, visibility and agility of the supply chain in coordination with interagency and private sector partners; wherein robustness includes broadening domestic manufacturing capacity and diversification of sources, visibility includes increased transparency and mapping of PHIB supply chains, and agility is an improved flexibility and responsiveness of actors in the system._d987723c-d0db-11ec-84c6-e94c0583ea00Tactic 2.1.2.7Public Health Industrial Base (PHIB)_fa31d470-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_130[To be determined]Technology, Data & ResearchApply lessons learned from the use and application of technology, data, and research to improve preparedness and health and human services outcomes during emergencies and disasters_d9879028-d0db-11ec-84c6-e94c0583ea00Strategy 2.1.3_fa31e370-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_131[To be determined]DataEnhance research, analytic, and learning capabilities through more efficient, accurate, and trusted collection, application, and integration of data from new and existing data streams across a series of disciplines, including demographic, environmental, genetic or genomic, biomedical, economic, geospatial, and ecological data, to better understand health impacts of emergencies and disasters._d987967c-d0db-11ec-84c6-e94c0583ea00Tactic 2.1.3.1_fa32065c-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_132[To be determined]Surveillance & MonitoringImprove coordination and collaboration efforts with federal, state, tribal, local, territorial, and international partners to enhance integrated surveillance and monitoring capacity to ensure equity in emergency response planning, coordination, and delivery and sustaining global health security._d9879fdc-d0db-11ec-84c6-e94c0583ea00Tactic 2.1.3.2Federal PartnersState PartnersTribal PartnersLocal PartnersTerritorial PartnersInternational Partners_fa323370-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_133[To be determined]ITInvest in modernizing information technology infrastructure to foster data sharing and interoperability across systems in coordination with partners to ensure data insights are representative, actionable, and readily available to decisionmakers and researchers before, during, and after an emergency or disaster to inform preparedness, response, and forecasting._d987afd6-d0db-11ec-84c6-e94c0583ea00Tactic 2.1.3.3_fa3244fa-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_134[To be determined]Countermeasures & EquipmentLeverage data collection, monitoring, and reporting systems, including critical demographic data, to improve the production, availability, and equitable supply of necessary countermeasures and medical equipment, including Personal Protective Equipment (PPE), when they are needed during emergencies and disasters._d987b666-d0db-11ec-84c6-e94c0583ea00Tactic 2.1.3.4_fa3266f6-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_135[To be determined]Health ImpactsProvide training, education, and technical assistance to foster a multidisciplinary cadre of culturally-appropriate public health and research professionals to conduct studies to better understand the human health impacts, including mental health, of public health emergencies and disasters, especially among especially among groups that are disproportionately affected._d987bfb2-d0db-11ec-84c6-e94c0583ea00Tactic 2.1.3.5_fa329900-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_136[To be determined]Medical CountermeasuresSupport innovative research and development for medical countermeasures, including clinical trials, and data integration capabilities to better prepare for and support safe and healthy outcomes during emergencies and disasters._d987cf02-d0db-11ec-84c6-e94c0583ea00Tactic 2.1.3.6_fa32a846-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_137[To be determined]DiseasesProtect individuals, families, and communities from infectious disease and non-communicable disease through equitable access to effective, innovative, readily available diagnostics, treatments, therapeutics, medical devices, and vaccines_bca6199c-cf47-11ec-89c9-1e9f0283ea002.2IndividualsFamiliesCommunitiesContributing OpDivs and StaffDivsAHRQ, ASPR, CDC, CMS, FDA, HRSA, IHS, NIH, OASH, and OGA work to achieve this objective.AHRQASPRCDCCMSFDAHRSAIHSNIHOASHOGAHHS PartnersHHS OpDivs and StaffDivs engage and work with a broad range of partners and stakeholders to implement the strategies and achieve this Objective. They include:Antimicrobial Resistance/National Antimicrobial Resistance Monitoring System (NARMS)Board of Scientific CounselorsDeputy Director for Infectious DiseasesHealthcare Infection Control Practices Advisory Committee (HICPAC)Partnership for Food Protection (PFP)Public Health Emergency Medical Countermeasures Enterprise (PHEMCE)Retail Food Flexible Funding Model Cooperative Agreement Program (CAP)Retail Food Safety Regulatory Association CollaborativeState Produce Implementation Cooperative Agreement Program (CAP)HHS is working on strategies to protect the public from known and emerging infectious diseases and prevent non-communicable diseases, including cardiovascular diseases, cancer, diabetes, and other chronic conditions. HHS advances the development and delivery of safe and effective, and innovative diagnostics, treatments, therapeutics, medical devices, and vaccines. HHS invests in innovative technology and development to ensure the supply and availability of diagnostics, treatments, therapeutics, medical devices, and vaccines while leveraging resources and collaborations to support and apply research, evaluation, and data insights about non-communicable and infectious disease. ^ ^ Performance Goals ~ The HHS Annual Performance Plan provides information on the Department’s measures of progress towards achieving the goals and objectives described in the HHS Strategic Plan for FY 2022–2026. Below are the related performance measures for this Objective.Performance Measure 2.2.1Vaccinated AdultsPercentage_fa32cb0a-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_138Increase the percentage of adults aged 18 years and older who are vaccinated annually against seasonal influenzaStatusIncreased[To be determined]Performance Measure 2.2.2HIV/AIDS Program ClientsPercentage_3cb7935c-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_139Percentage of Ryan White HIV/AIDS Program clients receiving HIV medical care and at least one viral load test who are virally suppressedStatus[To be determined]Performance Measure 2.2.3Influenza R&D_3cb7a0ae-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_140Continue advanced research and development initiatives for more effective influenza vaccines and the development of safe and broad-spectrum therapeutics for use in seriously ill and/or hospitalized patients, including pediatric patientsStatusContinued[To be determined]Performance Measure 2.2.4Vaccination Rates_3cb7c070-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_141Influenza vaccination rates among adult American Indian and Alaska Native patients 18 years and olderStatus[To be determined]Safety & EffectivenessDevelop and deliver evidenced-based safe and effective, testing, treatments, therapeutics, medical devices, vaccines, and prevention strategies_d987d63c-d0db-11ec-84c6-e94c0583ea00Strategy 2.2.1_fa32f63e-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_142[To be determined]Diagnostics & PreventionMobilize resources and collaborations, including domestic, international, and public-private partnerships to support the research, development, testing, manufacture, and equitable distribution of safe and effective prevention strategies, diagnostics, vaccines, therapeutics, and medical devices for non-communicable and infectious disease._d987df9c-d0db-11ec-84c6-e94c0583ea00Tactic 2.2.1.1_fa330f0c-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_143[To be determined]VaccinationsIncrease collaboration with domestic and international partners, including community-based organizations, to improve confidence in vaccines and vaccination uptake rates, especially among disproportionately affected populations._d987ef14-d0db-11ec-84c6-e94c0583ea00Tactic 2.2.1.2Domestic PartnersInternational PartnersCommunity-Based OrganizationsDisproportionately Affected Populations_fa33300e-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_144[To be determined]ImmunizationBuild and support sustainable immunization programs, and capacity at local, national, regional, and global levels to better prevent and respond to disease-specific challenges and meet disease eradication, elimination, and control targets._d987f5a4-d0db-11ec-84c6-e94c0583ea00Tactic 2.2.1.3_fa336538-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_145[To be determined]Interventions, Treatments & TherapeuticsSupport evidence-based healthcare delivery models and engage stakeholders across public health and healthcare systems to increase the use of safe and effective interventions, treatments, and therapeutics through education, outreach, diagnostic and antibiotic stewardship, and other approaches in diverse patient populations, including tribal and territorial communities._d9880012-d0db-11ec-84c6-e94c0583ea00Tactic 2.2.1.4_fa3374d8-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_146[To be determined]AntimicrobialsLeverage partnerships and communication networks throughout state, tribal, local, and territorial communities to promote appropriate use of antimicrobials and antimicrobial stewardship across all healthcare and veterinary settings._d9880f4e-d0db-11ec-84c6-e94c0583ea00Tactic 2.2.1.5Healthcare IndustryVeterinarians_fa3396f2-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_147[To be determined]FoodsFoster and leverage partnerships with key stakeholders throughout the food production, manufacturing, storage, and distribution enterprise, as well as tribal and Urban Indian Organization partners, to promote and implement science-based preventive control standards for contamination of domestic and imported foods._d98815ca-d0db-11ec-84c6-e94c0583ea00Tactic 2.2.1.6Food ProducersManufacturersStorage EnterprisesDistribution EnterprisesTribesUrban Indian Organizations_fa33c596-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_148[To be determined]TechnologyInvest in innovative technology and development to ensure supply and availability of safe and effective diagnostics, treatments, therapeutics, medical products and devices, and vaccines_d9881f8e-d0db-11ec-84c6-e94c0583ea00Strategy 2.2.2_fa33d4f0-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_149[To be determined]ProductsSupport the development of new, safe, and effective medical products with improved delivery characteristics, such as easier storage conditions, longer shelf-life, and reduced dosing, for the treatment, prevention, and diagnosis of non-communicable and infectious diseases._d9882f9c-d0db-11ec-84c6-e94c0583ea00Tactic 2.2.2.1_fa33f0de-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_150[To be determined]TechnologiesSupport the application and use of innovative technologies, including mobilizing industry to advance manufacturing (including flexible on demand and point-of-care manufacturing) and artificial intelligence to accelerate research and manufacturing, to improve quality, address shortages, and speed time-to-market for new diagnostics, treatments, therapeutics, medical products, and vaccines._d988364a-d0db-11ec-84c6-e94c0583ea00Tactic 2.2.2.2_fa3411fe-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_151[To be determined]DiseasesAdvance the research and development of accessible, point of care diagnostic testing to detect non-communicable and infectious diseases to ensure that timely, safe, and effective treatments and therapeutics can be delivered equitably to all communities when needed, including underserved communities, tribes, and territories._d9883ff0-d0db-11ec-84c6-e94c0583ea00Tactic 2.2.2.3CommunitiesUnderserved CommunitiesTribesTerritories_fa341dc0-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_152[To be determined]Research, Evaluation & DataLeverage resources and collaborations to support and apply research, evaluation, and data insights about non-communicable and infectious disease_d9885008-d0db-11ec-84c6-e94c0583ea00Strategy 2.2.3_fa3438dc-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_153[To be determined]Chronic ConditionsEngage in research to better understand the overall disease burden and effective strategies for intervention and improved quality of life associated with chronic conditions._d988571a-d0db-11ec-84c6-e94c0583ea00Tactic 2.2.3.1_fa3459ca-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_154[To be determined]PartnershipsBuild and maintain partnerships, including federal, non-federal, academic and industry partnerships, to promote the development, implementation, evaluation, and availability of vaccines and other treatments to combat antimicrobial resistance and microbial threats._d98865b6-d0db-11ec-84c6-e94c0583ea00Tactic 2.2.3.2Federal PartnersNon-Federal PartnersAcademic PartnersIndustry Partners_fa346636-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_155[To be determined]DataInvest in data analysis, research, and evaluation efforts, including opportunities for data sharing and linkages, to better understand the burden of disease in a variety of industry and occupation settings and further the development and implementation of vaccines for high-burden diseases and diseases with epidemic or pandemic potential._d98875f6-d0db-11ec-84c6-e94c0583ea00Tactic 2.2.3.3_fa347e82-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_156[To be determined]Prevention & MitigationSupport the availability and evaluate the effectiveness of prevention and mitigation measures—including engineering controls, administrative controls, and personal protective equipment—in workplaces across all industry sectors, including those with social, economic, and/or environmental disadvantages that elevate risk and exposure._d9887c90-d0db-11ec-84c6-e94c0583ea00Tactic 2.2.3.4_fa349dae-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_157[To be determined]VaccinesConduct vaccine safety monitoring and clinical research to keep vaccines safe and provide compensation to people who have been injured by specific vaccines._d988865e-d0db-11ec-84c6-e94c0583ea00Tactic 2.2.3.5_fa34a8ee-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_158[To be determined]Supply ChainsImprove the ability to monitor supply chain shortages and proactively prevent them by improved transparency and data sharing among state, local, tribal, and territorial governments, industry, and federal partners—ensuring supplies are distributed on a priority basis._d98896da-d0db-11ec-84c6-e94c0583ea00Tactic 2.2.3.6State GovernmentsLocal GovernmentsTribal GovernmentsTerritorial GovernmentsIndustryFederal Partners_fa34c3b0-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_159[To be determined]BehaviorsEnhance promotion of healthy behaviors to reduce occurrence of and disparities in preventable injury, illness, and death_bca61b0e-cf47-11ec-89c9-1e9f0283ea002.3Contributing OpDivs and StaffDivsAHRQ, ACF, ACL, ASFR, CDC, CMS, FDA, HRSA, IHS, NIH, OASH, and SAMHSA work to achieve this objective.AHRQACFACLASFRCDCCMSFDAHRSAIHSNIHOASHSAMHSAHHS PartnersHHS OpDivs and StaffDivs engage and work with a broad range of partners and stakeholders to implement the strategies and achieve this Objective. They include: the Disease, Disability, and Injury Prevention and Control Special Emphasis PanelInjury Prevention in AI/AN CommunitiesInteragency Committee on Smoking and HealthNational Center for Injury Prevention and Control Board of Scientific CounselorsNational Organizations of State and Local Officials Cooperative AgreementNational Youth Tobacco Survey (NYTS)Native American Research Centers for Health (NARCH)Population Assessment of Tobacco and Health (PATH)Tobacco Regulatory Science Program (TRSP)HHS supports strategies to promote healthy behaviors to reduce the occurrence of and disparities in preventable injury, illness, and death. The Department develops, communicates, and disseminates information to improve health literacy about the benefits of healthy behaviors. HHS leverages resources, partnerships, and collaborations to support healthy behaviors that improve health conditions and reduce disparities in health outcomes. HHS also advances and applies research and data insights to inform evidence-based prevention, intervention, and policy approaches to address disparities in preventable injury, illness, and death. ^ ^ Performance Goals The HHS Annual Performance Plan provides information on the Department’s measures of progress towards achieving the goals and objectives described in the HHS Strategic Plan for FY 2022–2026. Below are the related performance measures for this Objective.Performance Measure 2.3.1Tobacco Consumption_fa34e642-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_160Reduce the annual adult per-capita combustible tobacco consumption in the United StatesStatusReduced[To be determined]Performance Measure 2.3.2Exercising AdultsPercentage_3cb7f126-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_161Increase the proportion of adults (age 18 and older) that engage in leisure-time physical activityStatusIncreased[To be determined]Performance Measure 2.3.3Blood Pressure PatientsPercentage_3cb80166-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_162Percentage of adult health center patients with diagnosed hypertension whose blood pressure is under adequate controlStatus[To be determined]Performance Measure 2.3.4Diabetes PatientsPercentage_3cb81ef8-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_163Percentage of adult health center patients with type 1 or 2 diabetes with most recent hemoglobin A1c (HbA1c) under control (less than or equal to nine percent)Status[To be determined]Health LiteracyDevelop, communicate, and disseminate information to improve health literacy about the benefits of healthy behaviors_d9889d88-d0db-11ec-84c6-e94c0583ea00Strategy 2.3.1_fa34f1a0-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_164[To be determined]Mothers, Infants & ChildrenEnhance maternal, infant, and child health through promotion of healthy dietary and physical activity patterns and guidelines while reducing exposure to contaminants and environmental risks, including foodborne pathogens and toxic elements in foods, during pregnancy and in early childhood, particularly in underserved populations._d988a774-d0db-11ec-84c6-e94c0583ea00Tactic 2.3.1.1MothersInfantsChildren_fa350fa0-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_165[To be determined]Alcohol & TobaccoContinue to develop targeted public awareness and education for youth and adults about the risks and dangers posed by tobacco products, including e-cigarettes and other electronic nicotine delivery systems, and alcohol, to discourage use, while promoting the availability of cessation programs and supports to minimize harm._d988b71e-d0db-11ec-84c6-e94c0583ea00Tactic 2.3.1.2YouthAdults_fa352e4a-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_166[To be determined]Mental & Behavioral HealthExpand public awareness and education of mental and behavioral health services including the availability of services for prevention of, treatment of, and recovery support for substance use disorders._d988bea8-d0db-11ec-84c6-e94c0583ea00Tactic 2.3.1.3_fa3539b2-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_167[To be determined]Information & InterventionsSupport and improve the dissemination and accessibility of information and interventions related to physical activity, healthy eating, food deserts, food insecurity, nutrition, and nutrition labeling to reduce the incidence of related health conditions and chronic diseases._d988c84e-d0db-11ec-84c6-e94c0583ea00Tactic 2.3.1.4_fa3556d6-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_168[To be determined]InjuriesEducate the public on best practices and approaches for mitigating and reducing preventable injury in sports and other physical activities, such as concussions and related injuries, including preventable injury in children and youth sports._d988d816-d0db-11ec-84c6-e94c0583ea00Tactic 2.3.1.5ChildrenYouth_fa357864-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_169[To be determined]Information & UnderstandingEnsure the public is informed and understands the prevalence, causes, consequences, and risk of social, environmental, behavioral and biological conditions, including related impacts on healthcare costs among underserved populations._d988dece-d0db-11ec-84c6-e94c0583ea00Tactic 2.3.1.6_fa3587fa-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_170[To be determined]BehaviorsLeverage resources, partnerships, and collaborations to support healthy behaviors that improve health conditions and reduce disparities in health outcomes_d988e946-d0db-11ec-84c6-e94c0583ea00Strategy 2.3.2_fa35a97e-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_171[To be determined]OpioidsMaximize partnerships with states, community-based organizations, and healthcare organizations to improve safe opioid prescribing and reduce harm by leveraging naloxone distribution, syringe services programs, and integrated service delivery for co-occurring conditions._d988f986-d0db-11ec-84c6-e94c0583ea00Tactic 2.3.2.1StatesCommunity-Based OrganizationsHealthcare Organizations_fa35d5ca-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_172[To be determined]Substance UseCollaborate with states, tribes, and community-based organizations to develop and implement tailored prevention and intervention efforts aimed at addressing substance use challenges faced by adults and youth through evidence-based education and programs._d9890070-d0db-11ec-84c6-e94c0583ea00Tactic 2.3.2.2AdultsYouthStatesTribesCommunity-Based Organizations_fa35e6be-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_173[To be determined]Mental Health & Substance AbuseEnhance collaborative efforts with states and community and faith-based organizations to raise awareness of mental health and substance use disorders and reduce barriers and increase access to effective prevention programs and treatments, including telemedicine, healthcare integration, and community- and school-based care._d9890e26-d0db-11ec-84c6-e94c0583ea00Tactic 2.3.2.3StatesCommunity OrganizationsFaith-Based Organizations_fa360824-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_174[To be determined]Interpersonal & Emotional SkillsSupport partnerships and collaborations to enhance the promotion of interpersonal and emotional skills among children, youth, and adolescents and to prevent adverse childhood experiences, suicide, substance use, and youth violence in communities by supporting the implementation and evaluation of evidence-based programs, including interventions related to health promotion, socioemotional learning, and teen pregnancy._d9891ec0-d0db-11ec-84c6-e94c0583ea00Tactic 2.3.2.4ChildrenYouthAdolescents_fa363470-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_175[To be determined]Health DisparitiesPartner with states, tribes, local, and territorial communities, including private and non-profit organizations, to expand tailored prevention education and interventions to reduce health disparities, focusing efforts in addressing disparities in injury, substance use and misuse, illness, morbidity, and mortality rates in underserved populations._d98925c8-d0db-11ec-84c6-e94c0583ea00Tactic 2.3.2.5Underserved PopulationsStatesTribes CommunitiesLocal CommunitiesTerritorial CommunitiesPrivate OrganizationsNon-Profit Organizations_fa3644c4-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_176[To be determined]Culture & EducationEngage state level, regional, tribal, territorial, and local providers, programs, and organizations—including medical practitioners, Breastfeeding Coalitions, the Supplemental Nutritional Assistance Program (SNAP), and the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)—to develop cultural competence training and education materials for healthcare providers who provide services to maternal, perinatal, and postpartum populations, and groups that have been economically and socially marginalized._d9892fa0-d0db-11ec-84c6-e94c0583ea00Tactic 2.3.2.6StatesRegional ProvidersTribal ProvidersTerritorial ProvidersLocal ProvidersMedical PractitionersBreastfeeding CoalitionsSupplemental Nutritional Assistance Program (SNAP)Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)_fa366634-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_177[To be determined]NutritionCoordinate federal interagency efforts and target resources aimed at increasing the utilization of the Dietary Guidelines for Americans to inform federal nutrition programs and initiatives, including the development of science-based nutrition education initiatives, with a particular focus on efforts that address disparities in health and food access._d98942b0-d0db-11ec-84c6-e94c0583ea00Tactic 2.3.2.7_fa368dbc-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_178[To be determined]PreventionApply research and data insights to inform evidence-based prevention, intervention, and policy approaches to address disparities in preventable injury, illness, and death_d98949cc-d0db-11ec-84c6-e94c0583ea00Strategy 2.3.3_fa369d02-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_179[To be determined]Trends & DisparitiesSupport, enhance, and coordinate research and surveillance efforts to improve identification of key trends and disparities in preventable injury, illness, and death at the national and sub-national levels to inform evidence-based interventions aimed at reducing health disparities._d98953d6-d0db-11ec-84c6-e94c0583ea00Tactic 2.3.3.1_fa36bfc6-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_180[To be determined]EquityAdvance health equity through regulatory efforts, where appropriate, and research efforts that utilize implementation science concepts and methods to better integrate effective, evidence-based interventions and actions to reduce substance use, tobacco use, obesity, and promote nutrition, blood pressure control, and physical activity across all populations._d98965b0-d0db-11ec-84c6-e94c0583ea00Tactic 2.3.3.2_fa36f388-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_181[To be determined]Social Determinants & BehaviorsSupport interdisciplinary and innovative research to enhance our understanding of how social, built, and natural environments affect the social determinants of health and inform culturally appropriate evidence-based treatments and supports to improve healthy behaviors in community settings for populations with health disparities._d9896ccc-d0db-11ec-84c6-e94c0583ea00Tactic 2.3.3.3_fa370490-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_182[To be determined]Prevention & InterventionLeverage and promote partnerships and collaborations, including public-private partnerships, to support implementation science and research application in the development and implementation of prevention and intervention approaches._d98976ae-d0db-11ec-84c6-e94c0583ea00Tactic 2.3.3.4_fa3727a4-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_183[To be determined]Eating ChoicesPromote research to effectively characterize and understand the interactions among the demographic, behavioral, lifestyle, social, cultural, economic, occupational, and environmental factors that influence healthy eating choices in diverse population groups._d989884c-d0db-11ec-84c6-e94c0583ea00Tactic 2.3.3.5_fa3753dc-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_184[To be determined]Environmental FactorsMitigate the impacts of environmental factors, including climate change, on health outcomes_bca61c76-cf47-11ec-89c9-1e9f0283ea002.4Contributing OpDivs and StaffDivsASPR, ATSDR, CDC, CMS, FDA, HRSA, IHS, NIH, OASH, OCR, and OGA work to achieve this objective.ASPRATSDRCDCCMSFDAHRSAIHSNIHOASHOCROGAHHS PartnersHHS OpDivs and StaffDivs engage and work with a broad range of partners and stakeholders to implement the strategies and achieve this Objective. They include:Food Waste ReductionPresident's Task Force on Environmental Health Risks and Safety Risks to ChildrenU.S. Global Change Research ProgramWhite House Environmental Justice Interagency CouncilHHS invests in strategies to mitigate the impacts of environmental factors, including climate change, on health outcomes. HHS detects, investigates, forecasts, monitors, responds to, prevents, and aids in recovery from environmental and hazardous public health threats and their health effects. HHS promotes cross-disciplinary and multi-stakeholder coordination to improve the outcomes of climate change and environmental exposures on workers, communities, and domestic and international systems. Additionally, HHS expands awareness and increases knowledge of environmental hazards and actions that individuals and communities can take to reduce negative health outcomes. ^ ^ Performance Goals ~ The HHS Annual Performance Plan provides information on the Department’s measures of progress towards achieving the goals and objectives described in the HHS Strategic Plan for FY 2022–2026. Below are the related performance measures for this Objective.Performance Measure 2.4.1Health ActionsNumber_fa3764a8-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_185Number of public health actions undertaken (using Environmental Health Tracking data) that prevent or control potential adverse health effects from environmental exposuresStatus[To be determined]Performance Measure 2.4.2Training & Resources_3cb84608-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_186Increase training and resources to address the access and functional needs of electricity and healthcare service-dependent at-risk individuals who live independently and are impacted by incidents, emergencies, and disastersStatusIncreased[To be determined]Performance Measure 2.4.3Compliance Review & Resolution_3cb852a6-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_187By FY 2026, OCR will conduct a Title VI Environmental Justice/Public Health compliance review and undertake any needed steps for resolutionStatusSteps Taken[To be determined]Changes & ThreatsExpand ability to predict, monitor, prevent, respond to, and recover from health impacts of environmental changes and threats, including utilizing a One Health approach_d9898f40-d0db-11ec-84c6-e94c0583ea00Strategy 2.4.1_fa378618-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_188[To be determined]Preparation, Mitigation & AdaptationDevelop, use, and evaluate analytical, prevention and control tools and models to accurately forecast, prepare for, mitigate, and adapt to environmental and occupational hazards or climate change impacts, including those related to the agricultural ecosystem that have public health implications, including the effects of wind, rainfall, drought, and fire and the impacts on animal populations, the microbial make-up of soil and water, and land use._d9899940-d0db-11ec-84c6-e94c0583ea00Tactic 2.4.1.1_fa37b336-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_189[To be determined]ChangesExpand disease surveillance systems, environmental health data collection, and predictive modeling capabilities, and integrate such environmental health data with data from other scientific disciplines (e.g., geoscience, agricultural, land use, animal sciences, and behavioral and social science) to detect changes in risk, incidence, and distribution over time, including environmental impacts on workers and industries, and underserved communities._d989ab7e-d0db-11ec-84c6-e94c0583ea00Tactic 2.4.1.2WorkersIndustriesUnderserved Communities_fa37c4a2-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_190[To be determined]Health OutcomesConduct and support research on the impacts of current and emerging environmental exposures, risk factors, environmental and hazardous public health threats, and climate change to increase understanding of health outcomes on individuals and communities at the national and international level._d989b290-d0db-11ec-84c6-e94c0583ea00Tactic 2.4.1.3_fa37e89c-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_191[To be determined]Policies & StrategiesTranslate research findings into the adoption of health policies and evidence-based strategies to prevent environmental and climate change exposures, address health inequities, prepare for and adapt to health risks, and improve health outcomes._d989bc9a-d0db-11ec-84c6-e94c0583ea00Tactic 2.4.1.4_fa381588-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_192[To be determined]IssuesEnhance collaborations with federal partners and international agriculture, environmental and other sector entities to better address recurring and anticipated issues associated with food production, safety, and availability, food-related disease and mortality, including under-nutrition, infectious and non-communicable diseases, and diarrheal- and vector borne diseases and maternal and child health._d989ce60-d0db-11ec-84c6-e94c0583ea00Tactic 2.4.1.5Federal PartnersInternational Agriculture Sector EntitiesInternational Environmental Sector Entities_fa382672-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_193[To be determined]Health ThreatsPromote coordination among sectors and levels of government and multi-disciplinary and multi-stakeholder approaches to protect people from health threats arising from climate change and environmental and occupational exposures_d989d8f6-d0db-11ec-84c6-e94c0583ea00Strategy 2.4.2_fa384a58-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_194[To be determined]Resilience & SustainabilityFacilitate research, collaboration, and implementation efforts between public and private healthcare system stakeholders to make healthcare delivery more environmentally sustainable and more resilient to the threats of natural disasters, including extreme weather events, thereby reducing costs and risks from disruption of healthcare operations._d989ed0a-d0db-11ec-84c6-e94c0583ea00Tactic 2.4.2.1Public Healthcare System StakeholdersPrivate Healthcare System Stakeholders_fa387da2-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_195[To be determined]Understanding & InterventionsSupport multidisciplinary teams, prioritizing engagement of community stakeholders in affected communities at all stages of environmental and climate change health research and program implementation, to develop intervention strategies and gain understanding of the factors that make those strategies successful and replicable._d98a009c-d0db-11ec-84c6-e94c0583ea00Tactic 2.4.2.2_fa388ea0-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_196[To be determined]Research, Capacity & ProgrammingEstablish partnerships with federal agencies, state, local, territorial health departments, tribal nations, academic institutions, and community- and faith-based organizations, leveraging environmental health expertise and local capabilities, to conduct environmental, occupational, and climate change health research, build the capacity of impacted communities, and implement programming to reduce the health risks of environmental hazards._d98a07d6-d0db-11ec-84c6-e94c0583ea00Tactic 2.4.2.3Federal AgenciesState Health DepartmentsLocal Health DepartmentsTerritorial Health DepartmentsTribal NationsAcademic InstitutionsCommunity-Based OrganizationsFaith-Based Organizations_fa38b24a-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_197[To be determined]Environmental & Occupational HazardsExpand awareness and knowledge of environmental and occupational hazards to inform actions individuals and communities can take to reduce negative health outcomes_d98a13b6-d0db-11ec-84c6-e94c0583ea00Strategy 2.4.3_fa38df36-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_198[To be determined]Networks & ToolsBuild networks and develop tools to educate health providers, employers, workers, and communities about the environmental hazards, including climate change, that impact their local health outcomes and actions to mitigate and manage those impacts._d98a259a-d0db-11ec-84c6-e94c0583ea00Tactic 2.4.3.1Health ProvidersEmployersWorkersCommunities_fa38f0d4-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_199[To be determined]CollaborationsDevelop and sustain formal and informal collaborations within and across HHS Divisions, other federal agencies, global health entities, and a wide range of partners to address environmental threats and climate change._d98a2cc0-d0db-11ec-84c6-e94c0583ea00Tactic 2.4.3.2HHS DivisionsFederal AgenciesGlobal Health Entities_fa3910b4-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_200[To be determined]Well-being, Equity & ResilienceStrengthen Social Well-being, Equity, and Economic Resilience_bca61d3e-cf47-11ec-89c9-1e9f0283ea003HHS works to strengthen the economic and social well-being of Americans across the lifespan. HHS provides effective and innovative pathways leading to equitable economic success for all individuals and families. The Department strengthens early childhood development and expands opportunities to help children and youth thrive equitably within their families and communities. HHS expands access to high-quality services and resources for older adults and people with disabilities, and their caregivers to support increased independence and quality of life. HHS also increases safeguards to empower families and communities to prevent and respond to neglect, abuse, and violence, while supporting those who have experienced trauma or violence.Economic SuccessProvide effective and innovative pathways leading to equitable economic success for all individuals and families_bca61eba-cf47-11ec-89c9-1e9f0283ea003.1IndividualsFamiliesContributing OpDivs and StaffDivs ACF, ACL, ASPE, CDC, CMS, HRSA, IHS, OASH, and OCR work to achieve this objective.ACFACLASPECDCCMSHRSAIHSOASHOCRHHS PartnersHHS OpDivs and StaffDivs engage and work with a broad range of partners and stakeholders to implement the strategies and achieve this Objective. They include:Interagency Council on Economic Mobility and Investing with Families InitiativeDepartment of Laborcollaborating on the Workforce Innovation and Opportunity ActDepartments of Educationcollaborating on the Workforce Innovation and Opportunity ActHHS invests in strategies to provide effective and innovative pathways that lead to equitable economic success for all individuals and families. HHS facilitates system enhancements and partnerships across the federal government to coordinate resources and technical assistance to individuals and families hoping to achieve and sustain economic independence. ^ ^ Performance Goals ~ The HHS Annual Performance Plan provides information on the Department’s measures of progress towards achieving the goals and objectives described in the HHS Strategic Plan for FY 2022–2026. Below are the related performance measures for this Objective.Performance Measure 3.1.1Energy Burden ReductionScore_fa3939cc-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_201Increase energy burden reduction index score for high burden householdsStatusIncreased[To be determined]Performance Measure 3.1.2Assistance TerminationsPercentage_3cb86fe8-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_202Increase the percent of cash assistance terminations due to earned income from employment for those clients receiving cash assistance at employment entryStatusIncreased[To be determined]Performance Measure 3.1.3Self-Sufficient RefugeesPercentage_3cb8986a-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_203Increase the percentage of refugees who are self-sufficient (not dependent on any cash assistance) within the first six months (180 days) of the service periodStatusIncreased[To be determined]Performance Measure 3.1.4Child Support OrdersPercentage_3cb8a648-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_204Increase the percentage of IV-D (child support) cases having support ordersStatusIncreased[To be determined]Performance Measure 3.1.5MOE FundsPercentage_3cb8c358-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_205Increase the median state share of federal TANF and state maintenance-of-effort (MOE) funds used for work, education, and training activitiesStatusIncreased[To be determined]Resources & Technical AssistanceFacilitate system enhancements and partnerships across the federal government to coordinate resources and technical assistance to individuals and families hoping to achieve and sustain economic independence_d98a371a-d0db-11ec-84c6-e94c0583ea00Strategy 3.1.1IndividualsFamilies_fa394b38-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_206[To be determined]Safety NetBuild state, tribe, and territorial capacity to expand safety net program coverage, enforce Section 504 of the Rehabilitation Act, streamline eligibility determination, and improve enrollment in order to provide effective assistance to address the economic conditions of underserved populations._d98a4a48-d0db-11ec-84c6-e94c0583ea00Tactic 3.1.1.1StateTribesTerritoriesUnderserved Populations_fa396ece-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_207[To be determined]Persons with DisabilitiesExpand access to persons with disabilities to HHS funded and administered programs through effective communications and accommodations as required by Section 504 of the Rehabilitation Act of 1973 and Title II of the Americans with Disabilities Act._d98a51dc-d0db-11ec-84c6-e94c0583ea00Tactic 3.1.1.2Persons with Disabilities_fa399a16-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_208[To be determined]CollaborationEncourage states to collaborate with tribes and across programs and systems so that individuals and families hoping to achieve economic security have access to income and housing support, safe and nutritious foods, health insurance, education, and training as well as work supports, such as child care and transportation._d98a5c40-d0db-11ec-84c6-e94c0583ea00Tactic 3.1.1.3StatesTribes_fa39a72c-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_209[To be determined]Social DeterminantsApply knowledge and best practices to help grantees and partners provide services that focus on social determinants of health and factors that affect economic mobility._d98a6f5a-d0db-11ec-84c6-e94c0583ea00Tactic 3.1.1.4_fa39c464-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_210[To be determined]Immigration & NaturalizationSupport naturalization among refugees and inclusion efforts, as called for in the Executive Order 14012: Restoring Faith in Our Legal Immigration Systems and Strengthening Integration and Inclusion Efforts for New Americans, by reducing barriers to the legal immigration system._d98a76da-d0db-11ec-84c6-e94c0583ea00Tactic 3.1.1.5Refugees_fa39ec96-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_211[To be determined]Data & ResearchEnable research use of data collected through federal funded programs to accelerate the production of evidence on factors affecting refugees’ resettlement outcomes, including refugee youth outcomes._d98a8184-d0db-11ec-84c6-e94c0583ea00Tactic 3.1.1.6Young Refugees_fa39fd4e-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_212[To be determined]Self-SufficiencyInvest in low-income, tribal, and communities of color through funding opportunities to promote social and economic self-sufficiency to lessen economic inequalities._d98a939a-d0db-11ec-84c6-e94c0583ea00Tactic 3.1.1.7Low-Income CommunitiesTribal CommunitiesCommunities of Color_fa3a2198-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_213[To be determined]ServicesExpand access to culturally- and linguistically-appropriate employability, economic development, education, and support services for vulnerable refugee populations, through specialized programming and collaboration with federal partners._d98a9afc-d0db-11ec-84c6-e94c0583ea00Tactic 3.1.1.8Vulnerable Refugee Populations_fa3a50c8-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_214[To be determined]Economic InequalitiesExpand the development of resources for communities disproportionately affected by economic inequalities including Native American and Indigenous populations, refugees, and asylees, and facilitate the translation of materials for the public to the most commonly spoken languages in the United States._d98aa56a-d0db-11ec-84c6-e94c0583ea00Tactic 3.1.1.9Native AmericansIndigenous PopulationsRefugeesAsylees_fa3a62d4-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_215[To be determined]LanguageExpand awareness and ensure provision of language assistance services for people with limited English proficiency and auxiliary aids and services for people with disabilities in all communities, including communities disproportionately affected by economic and historic inequalities, regarding eligibility for and access to HHS programs, services, and activities._d98ab8b6-d0db-11ec-84c6-e94c0583ea00Tactic 3.1.1.10_fa3a8692-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_216[To be determined]Children & YouthStrengthen early childhood development and expand opportunities to help children and youth thrive equitably within their families and communities_bca6205e-cf47-11ec-89c9-1e9f0283ea003.2ChildrenYouthFamiliesCommunitiesContributing OpDivs and StaffDivsACF, ACL, ASPE, CDC, CMS, FDA, HRSA, IHS, OASH, NIH, OGA, and SAMHSA work to achieve this objective.ACFACLASPECDCCMSFDAHRSAIHSOASHNIHOGASAMHSAHHS PartnersHHS OpDivs and StaffDivs engage and work with a broad range of partners and stakeholders to implement the strategies and achieve this Objective. They include:Adolescent Brain Cognitive Development (ABCD) ProjectUnited States Interagency Council on HomelessnessInteragency Autism Coordinating Committee (IACC)Interagency Working Group on Youth ProgramsHHS invests in strategies to strengthen early childhood development opportunities to help children and youth thrive equitably within their families and communities. HHS fosters the physical, emotional, intellectual, language, and behavioral development of children and youth while supporting their families and caregivers. HHS implements interventions and multidisciplinary programs to enhance and support early childhood development and learning. HHS also focuses its efforts to improve early childhood development programs, systems, and linkages through the application of data, evidence, and lessons learned. ^ ^ Performance Goals ~ The HHS Annual Performance Plan provides information on the Department’s measures of progress towards achieving the goals and objectives described in the HHS Strategic Plan for FY 2022–2026. Below are the related performance measures for this Objective.Performance Measure 3.2.1Head Start GranteesPercentage_fa3ab31a-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_217Reduce the proportion of Head Start grantees receiving a score in the low range on the basis of the Classroom Assessment Scoring System (CLASS: Pre-K)StatusReduced[To be determined]Performance Measure 3.2.2Preschool TeachersPercentage_3cb8e87e-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_218Increase the percentage of Head Start preschool teachers with an AA, BA, or Advanced degree in early childhood education or a related fieldStatusIncreased[To be determined]Performance Measure 3.2.3TLP YouthPercentage_3cb8f724-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_219Maintain the proportion of youth living in safe and appropriate settings after exiting ACF-funded Transitional Living Program (TLP) servicesStatusMaintained[To be determined]Performance Measure 3.2.4Children ScreenedNumber_3cb914ac-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_220Number of 0–8-year-old children screened for mental health or related interventionsStatus[To be determined]Performance Measure 3.2.5Home Visit ParticipantsNumber_3cb93c84-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_221Number of participants served by the Maternal, Infant, and Early Childhood Home Visiting ProgramStatus[To be determined]Children & YouthFoster the physical, emotional, intellectual, language, and behavioral development of children and youth while supporting their families and caregivers_d98ac0ea-d0db-11ec-84c6-e94c0583ea00Strategy 3.2.1ChildrenYouthFamilies_fa3ac436-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_222[To be determined]ServicesSupport state and local government agencies, tribes, non-governmental organizations, and other community partners in promoting comprehensive, culturally competent, two-generation, community-based, developmentally appropriate, trauma-informed services that strengthen economic security, promote protective factors, advance learning, and reduce stress on families, fostering environments that support children, youth, pregnant and expectant persons, and parents._d98acb8a-d0db-11ec-84c6-e94c0583ea00Tactic 3.2.1.1FamiliesYouthPregnant PersonsExpectant PersonsParentsState Government AgenciesLocal Government AgenciesTribesNon-Governmental OrganizationsCommunity Partners_fa3ae88a-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_223[To be determined]BarriersIdentify and address barriers to maximizing children’s physical, emotional, cognitive, language, and behavioral development, while ensuring knowledge of and access to comprehensive behavioral health services for children, parents, and families._d98add50-d0db-11ec-84c6-e94c0583ea00Tactic 3.2.1.2ChildrenParentsFamilies_fa3b16f2-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_224[To be determined]PartnershipsPromote programs and leverage strategic family, early learning, school, healthcare, and community-based partnerships to improve early identification of children with developmental delays and disabilities, including mental, behavioral, and developmental disorders, and facilitate linkages to appropriate treatment and services, including IDEA Part C early intervention services for children (aged birth to 36 months) and IDEA Part B services for school-aged children (aged three through 21 years of age)._d98ae5b6-d0db-11ec-84c6-e94c0583ea00Tactic 3.2.1.3Children with Developmental DelaysChildren with Developmental Disabilities_fa3b28b8-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_225[To be determined]Protection & ProgramsAdvance strengths-based approaches and models to promote protective factors, positive youth development approaches, and evidence-informed programs focusing on improving the physical, social, emotional, cognitive, language, and behavioral health of adolescents, including engaging parents and caregivers, ensuring access to teen-friendly services, and coordinating adolescent- and family-centered services._d98af088-d0db-11ec-84c6-e94c0583ea00Tactic 3.2.1.4AdolescentsTeensParentsCaregivers_fa3b4e2e-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_226[To be determined]Growth & DevelopmentImprove growth and development prospects of children, including enhanced dietary quality and reduction in risk factors for preventable non-communicable disease, through the promotion of healthy eating and dietary guidelines, nutrition education and standards, physical activity, oral health and hygiene, and other feeding and nutrition programs or collaborations aimed at supporting children and families, especially in rural, low-income, and other high-risk areas._d98b049c-d0db-11ec-84c6-e94c0583ea00Tactic 3.2.1.5ChildrenFamiliesRural AreasLow-Income AreasHigh-Risk Areas_fa3b7cf0-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_227[To be determined]Environmental FactorsCoordinate federal interagency efforts and target resources aimed at improving environmental health and healthy development in children by reducing exposure to environmental health risk factors—including food contaminants, foodborne pathogens, lead, mold, toxic chemicals, and potent allergens—and their effects, such as asthma, poisoning, and other health conditions._d98b11b2-d0db-11ec-84c6-e94c0583ea00Tactic 3.2.1.6_fa3b8f1a-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_228[To be determined]Early ChildhoodProvide interagency leadership to effectively implement the Administration’s early childhood agenda, including overseeing the implementation of existing and proposed new investments in early childhood and facilitating interagency early childhood working groups and public-private partnerships for cross-program collaboration._d98b21de-d0db-11ec-84c6-e94c0583ea00Tactic 3.2.1.7Young Children_fa3bb35a-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_229[To be determined]Sexuality EducationExpand access to comprehensive and inclusive sexuality education for young people to ensure accurate and complete information about sexual and reproductive health and rights, and to support child protection._d98b349e-d0db-11ec-84c6-e94c0583ea00Tactic 3.2.1.8_fa3be3c0-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_230[To be determined]Adverse ExperiencesCollaborate and coordinate with state, tribal, local, territorial, and other key partners to increase awareness of adverse childhood experiences, build capacity to implement prevention and response policies, programs, and practices based on the best available evidence, provide targeted, culturally appropriate trainings and technical assistance, and use data to inform program planning, implementation, and evaluation of adverse childhood experiences prevention and response strategies._d98b3c50-d0db-11ec-84c6-e94c0583ea00Tactic 3.2.1.9ChildrenState PartnersTribal PartnersLocal PartnersTerritorial Partners_fa3bf4dc-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_231[To be determined]Homeless YouthSupport services and programs to improve the social well-being of unaccompanied homeless youth, children and youth who cannot remain in their homes, and refugee children and youth_d98b4740-d0db-11ec-84c6-e94c0583ea00Strategy 3.2.2Homeless YouthRefugee Children_fa3c198a-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_232[To be determined]Outreach, Shelters & ServicesProvide street outreach, emergency shelters and longer-term transitional living and maternity group home services and programs to serve and protect runaway and homeless youth._d98b5a00-d0db-11ec-84c6-e94c0583ea00Tactic 3.2.2.1Runaway YouthHomeless Youth_fa3c4676-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_233[To be determined]Migrants & Foster CareBridge child welfare experience with expertise in refugee resettlement to improve outcomes for minors who have undergone forced migration and traumatic experiences with foster care placement and services and support the caregivers and community members involved in nurturing their physical and emotional well-being._d98b6194-d0db-11ec-84c6-e94c0583ea00Tactic 3.2.2.2Minor RefugeesCaregivers_fa3c58e6-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_234[To be determined]Integration, Schooling & GoalsProvide services to facilitate the school performance, psychosocial adjustment, integration, and goal-setting of refugee children and youth, and extend complementary supports to their family members, to strengthen overall family well-being._d98b6c66-d0db-11ec-84c6-e94c0583ea00Tactic 3.2.2.3Refugee ChildrenRefugee Youth_fa3c7bf0-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_235[To be determined]Early ChildhoodImplement interventions and multidisciplinary programs that enhance and support early childhood development and learning_d98b7ed6-d0db-11ec-84c6-e94c0583ea00Strategy 3.2.3Young Childred_fa3cadbe-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_236[To be determined]Assessment & InterventionPromote systems and practices of assessment and intervention, anchored in primary healthcare, that support holistic early childhood development and learning, and child and youth well-being, inclusive of physical, socio-emotional, behavioral, intellectual, cognitive, and language development._d98b86a6-d0db-11ec-84c6-e94c0583ea00Tactic 3.2.3.1_fa3cbfc0-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_237[To be determined]Eligibility & RequirementsAlign eligibility and program requirements across family-serving health and human service systems, and provide family navigation supports, to reduce burden and gaps in services._d98b9182-d0db-11ec-84c6-e94c0583ea00Tactic 3.2.3.2_fa3cdda2-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_238[To be determined]Care & EducationImprove access to stable and affordable high-quality early care and education settings and participation in early childhood programs of underserved communities and populations and the replication and application of lessons learned from successful programs focused on inclusion practices._d98ba442-d0db-11ec-84c6-e94c0583ea00Tactic 3.2.3.3Underserved CommunitiesUnderserved Populations_fa3d01ba-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_239[To be determined]Training & AssistanceDevelop effective and culturally-informed training and technical assistance informed by evidence and best practices to improve the quality of early childhood and prenatal care services and education programs, including those offered by tribes and faith-based and community initiatives._d98babf4-d0db-11ec-84c6-e94c0583ea00Tactic 3.2.3.4Early Childhood Care ServicesPrenatal Care ServicesTribesFaith-Based ProgramsCommunity Programs_fa3d1178-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_240[To be determined]Staff & WorkforceInvest in early childhood development, learning, and care by building the capacity and increasing the compensation of the staff and workforce supporting the programs and services provided to children and families in these sectors, including programs serving low-income communities and populations._d98bb6bc-d0db-11ec-84c6-e94c0583ea00Tactic 3.2.3.5ChildrenFamiliesLow-IncomeCommunitiesLow-Income Populations_fa3d36d0-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_241[To be determined]Early Care & Education SectorStabilize the early care and education sector to address decreased revenues and increased costs resulting from the COVID-19 pandemic and build back a high-quality supply of programs and providers, particularly in low-income communities, and equitably deliver services across a variety of program settings that meet the needs of families._d98bc8b4-d0db-11ec-84c6-e94c0583ea00Tactic 3.2.3.6Early Care & Education SectorLow-Income Communities_fa3d62ea-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_242[To be determined]WorkforceDevelop short- and long-term interagency strategies to address the early childhood education workforce shortages by urging states, communities, and local programs to invest ARP funds, other sources of COVID-19 relief funding, and existing funding to address the current ECE workforce shortage and provide support to child care and early childhood education providers._d98bd124-d0db-11ec-84c6-e94c0583ea00Tactic 3.2.3.7Early Childhood Education WorkforceStatesCommunitiesLocal ProgramsChild Care ProvidersEarly Childhood Education Providers_fa3d73e8-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_243[To be determined]Native American FamiliesDevelop interagency partnerships and cross-program initiatives with programs for Native American families to leverage existing federal resources to prioritize early childhood and help implement their tribe’s vision for a stronger system of high-quality early care and education at the tribal community level._d98bdc32-d0db-11ec-84c6-e94c0583ea00Tactic 3.2.3.8Native American FamiliesTribes_fa3d97ba-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_244[To be determined]Data, Evidence & LessonsImprove early childhood development programs, systems, and linkages through the application of data, evidence, and lessons learned_d98bf28a-d0db-11ec-84c6-e94c0583ea00Strategy 3.2.4_fa3dc3c0-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_245[To be determined]Partnerships & CollaborationFacilitate and foster cross-sector partnerships and collaboration across HHS and non-HHS agencies at federal, state, tribal, territorial, and local levels to better integrate planning, programs, policies, financing, and data systems aimed at addressing social determinants of health, integrating family services, reducing disparities, and supporting strong families and communities in equitable ways._d98bfa5a-d0db-11ec-84c6-e94c0583ea00Tactic 3.2.4.1_fa3dd5c2-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_246[To be determined]Planning, Implementation & AssessmentEmpower children, youth, and families with opportunities to engage and have their voices heard in the planning, implementation, and assessment of programs and systems they rely on for care, learning, and other health and well-being supports._d98c059a-d0db-11ec-84c6-e94c0583ea00Tactic 3.2.4.2_fa3df93a-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_247[To be determined]Evidence & Best PracticesPromote evidence-based community engagement, dissemination, and implementation of healthcare and human services best practices among underserved populations to leverage reach and reduce gaps in services._d98c1864-d0db-11ec-84c6-e94c0583ea00Tactic 3.2.4.3Underserved Populations_fa3e239c-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_248[To be determined]Policies & ProgramsLeverage research opportunities and access to data, evaluations, and evidence to better inform the development and execution of policies and programs that affect the health, well-being, and livelihoods of children, youth, adolescents, and their families and communities._d98c2034-d0db-11ec-84c6-e94c0583ea00Tactic 3.2.4.4ChildrenYouthAdolescentsFamiliesCommunities_fa3e3206-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_249[To be determined]Learning & DevelopmentInvest in providing technical assistance to states, tribes, and localities to support the implementation of policy, programs, and approaches, and enhance their capacity to identify, monitor, and address children’s learning and developmental needs, including supports for mental health._d98c2bf6-d0db-11ec-84c6-e94c0583ea00Tactic 3.2.4.5ChildrenStatesTribesLocalities_fa3e516e-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_250[To be determined]Education, Apprenticeships & CareersFoster the dissemination and utilization of user-friendly tools to strengthen the enrollment and participation of vulnerable youth in postsecondary education, apprenticeship, and career technical assistance opportunities._d98c4028-d0db-11ec-84c6-e94c0583ea00Tactic 3.2.4.6Vulnerable Youth_fa3e7bbc-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_251[To be determined]Environmental Factors & HazardsUtilize an integrated approach to understand the environmental factors and hazards that present a barrier for maximizing program improvement for the benefit of improved health outcomes, safety and resilience, and healthy learning environments for children._d98c47ee-d0db-11ec-84c6-e94c0583ea00Tactic 3.2.4.7_fa3e90a2-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_252[To be determined]Adverse ExperiencesConduct and support innovative research, evaluation, and surveillance of adverse childhood experiences to build the evidence base and guide prevention, identification, and response efforts._d98c5306-d0db-11ec-84c6-e94c0583ea00Tactic 3.2.4.8_fa3eb564-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_253[To be determined]Services & ResourcesExpand access to high-quality services and resources for older adults and people with disabilities, and their caregivers to support increased independence and quality of life_bca6220c-cf47-11ec-89c9-1e9f0283ea003.3Older AdultsPeople with DisabilitiesCaregiversContributing OpDivs and StaffDivsACF, ACL, AHRQ, ASPE, CDC, CMS, HRSA, IHS, NIH, OASH, and OGA work to achieve this objective.ACFACLAHRQASPECDCCMSHRSAIHSNIHOASHOGAHHS PartnersHHS OpDivs and StaffDivs engage and work with a broad range of partners and stakeholders to implement the strategies and achieve this Objective. They include:American Academy of PediatricsAssociation of University Centers on Disabilities Public Health PracticeUnited States Preventive Services Task Force (USPSTF)HHS is investing in several strategies to expand access to high-quality services and resources for older adults, people with disabilities, and their caregivers. HHS enhances system capacity to develop processes, policies, and supports that are person centered and provide quality care for older adults and individuals with disabilities across settings, including home and community-based settings. HHS ensures the availability and equitable access and delivery of evidence-based interventions that focus on research, prevention, treatment, and care toolder adults and individuals with disabilities. HHS also supports development and implementation activities to better understand and address the needs of all caregivers across the age and disability spectrum. ^ ^ Performance Goals ~ The HHS Annual Performance Plan provides information on the Department’s measures of progress towards achieving the goals and objectives described in the HHS Strategic Plan for FY 2022–2026. Below are the related performance measures for this Objective.Performance Measure 3.3.1Caregiver Service DifficultiesPercentage_fa3ee2dc-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_254Reduce the percentage of caregivers participating in the National Family Caregiver Support Program who report difficulty in obtaining servicesStatusReduced[To be determined]Performance Measure 3.3.2Disabilities RightsPercentage_3cb94d82-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_255Increase the percentage of individuals with developmental disabilities whose rights were enforced, retained, restored, or expandedStatusIncreased[To be determined]Performance Measure 3.3.3Counseled AdultsPercentage_3cb9705a-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_256Increase the age-adjusted percentage of adults (age 18+) diagnosed with arthritis who were counseled by a doctor or other health professional to be physically active or exercise to help arthritis or joint symptoms, in states funded by the CDC Arthritis ProgramStatusIncreased[To be determined]Performance Measure 3.3.4Hemophilia Treatment InhibitorsPercentage_3cb99846-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_257Decrease the prevalence of hemophilia treatment inhibitors among Community Counts - Health Outcomes Monitoring System for People with Bleeding Disorders at HTCsStatusDecreased[To be determined]Performance Measure 3.3.5Older AdultsPercentage_3cb9a80e-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_258Increase the percentage of older adults who receive appropriate clinical preventive servicesStatusIncreased[To be determined]Systems, Determinants & PoliciesEnhance system capacity to address the health, health-related outcomes, and social determinants of health for older adults and individuals with disabilities of all ages by developing processes, policies, and supports that are person centered and provide quality care across settings, including home and community-based settings_d98c6558-d0db-11ec-84c6-e94c0583ea00Strategy 3.3.1_fa3ef5c4-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_259[To be determined]Self-Determination & CareDeploy approaches to care, including primary care, that promote health and equitable, goal-directed care and self-determination for older adults, persons with disabilities, and caregivers._d98c6dbe-d0db-11ec-84c6-e94c0583ea00Tactic 3.3.1.1Older AdultsPersons with DisabilitiesCaregivers_fa3f1ae0-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_260[To be determined]Service QualityEnhance states’ ability to implement Medicaid Home and Community Based Services (HCBS) and incorporate standardized quality measures to assess and track the adequacy of the HCBS community integration on access, availability, quality, experience of care, health outcomes, and the workforce._d98c791c-d0db-11ec-84c6-e94c0583ea00Tactic 3.3.1.2_fa3f497a-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_261[To be determined]Lived ExperiencesEngage with individuals with lived experience and their families and caregivers to ensure processes, policies, and supports meet their needs._d98c8b28-d0db-11ec-84c6-e94c0583ea00Tactic 3.3.1.3_fa3f5cf8-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_262[To be determined]Infrastructure, Coordination & CommunicationSupport healthcare partners, states, tribes and tribal organizations, community, profit, and non-profit organizations to expand infrastructure and improve coordination and communication of resources and services such as in-home services, transportation, digital equipment, broadband access and healthcare to meet the day-to-day and long-term needs of older adults, persons with disabilities, and caregivers._d98c93b6-d0db-11ec-84c6-e94c0583ea00Tactic 3.3.1.4Older AdultsPersons with DisabilitiesCaregivers_fa3f7fee-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_263[To be determined]Benefits & ServicesCreate pathways for older adults and persons with disabilities from vulnerable immigrant communities, such as refugees and asylees, to access relevant benefits and services, by strengthening the capacity of states, agencies, and providers to deliver culturally appropriate services and supply resources that address the needs of these immigrant populations._d98c9f0a-d0db-11ec-84c6-e94c0583ea00Tactic 3.3.1.5Older AdultsPersons with DisabilitiesVulnerable Immigrant CommunitiesRefugeesAsyleesStatesAgenciesProviders_fa3fb0e0-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_264[To be determined]InterventionsEnsure availability and equitable access and delivery of evidence-based interventions that focus on research, prevention, services, and treatment of health and behavioral conditions that impact older adults and individuals with disabilities_d98cb12a-d0db-11ec-84c6-e94c0583ea00Strategy 3.3.2Older AdultsIndividuals with Disabilities_fa3fc378-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_265[To be determined]Communication, Partnerships & AlliancesEstablish supportive policies, strengthen communication and partnership initiatives for intervention dissemination and clinical treatment and care gaps, and build strategic alliances for improved disease management._d98cb9ae-d0db-11ec-84c6-e94c0583ea00Tactic 3.3.2.1_fa3fe7d6-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_266[To be determined]Coordination & CollaborationCoordinate across federal agencies and collaborate with state, local, tribal, private, and non-profit partners to ensure availability and equitable distribution and access to evidence-based interventions that prevent the onset of symptoms, improve care management, and reduce health disparities for people diagnosed with multiple health conditions._d98cc5e8-d0db-11ec-84c6-e94c0583ea00Tactic 3.3.2.2People with Multiple Health Conditions_fa401cba-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_267[To be determined]Referrals & Self-ManagementPromote culturally and linguistically-tailored self-management programs and expand referral and delivery systems to improve health and behavioral health outcomes among older adults and individuals with disabilities._d98cd81c-d0db-11ec-84c6-e94c0583ea00Tactic 3.3.2.3_fa403092-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_268[To be determined]Caregiver NeedsSupport the development and implementation activities to better understand and address the needs of all caregivers across the age and disability spectrum_d98ce10e-d0db-11ec-84c6-e94c0583ea00Strategy 3.3.3Caregivers_fa4053d8-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_269[To be determined]Caregiving StrategyDevelop and disseminate a National Family Caregiving Strategy as required by the Recognize, Assist, Include, Support and Engage (RAISE) Family Caregivers Act of 2017 _d98cec1c-d0db-11ec-84c6-e94c0583ea00Tactic 3.3.3.1Caregivers_fa40831c-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_270[To be determined]Assistance & ResourcesLeverage technical assistance and resources to address the needs of older adult, kinship families, non-kinship, and minor caregivers at the federal, state, territorial, tribal and community levels._d98cfea0-d0db-11ec-84c6-e94c0583ea00Tactic 3.3.3.2Older AdultsKinship FamiliesNon-Kinship CaregiversMinor CaregiversStatesTerritoriesTribesCommunities_fa4096ae-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_271[To be determined]Neglect, Abuse & ViolenceIncrease safeguards to empower families and communities to prevent and respond to neglect, abuse, and violence, while supporting those who have experienced trauma or violence_bca623b0-cf47-11ec-89c9-1e9f0283ea003.4FamiliesCommunitiesContributing OpDivs and StaffDivsACF, ACL, ASPE, CDC, HRSA, IHS, NIH, OASH, and SAMHSA work to achieve this objective.ACFACLASPECDCHRSAIHSNIHOASHSAMHSAHHS PartnersHHS OpDivs and StaffDivs engage and work with a broad range of partners and stakeholders to implement the strategies and achieve this Objective. They include:Elder Justice Coordinating CouncilInteragency Task Force on Trauma-Informed CareInteragency Task Force to Monitor and Combat Human Trafficking in PersonsNational Center on Elder AbuseHHS increases safeguards to empower families and communities to prevent and respond to neglect, abuse, and violence, while supporting those who have experienced trauma or violence. The Department continues its efforts to promote coordination across the government to address the full range and multiple forms of neglect, violence, trauma, and abuse across the life span. HHS is building a resource infrastructure to ensure equitable delivery of high-quality services to support affected individuals, families, and communities. HHS also leverages data to inform the development of effective and innovative prevention and intervention models to address neglect, abuse, and violence. ^ ^ Performance Goals ~ The HHS Annual Performance Plan provides information on the Department’s measures of progress towards achieving the goals and objectives described in the HHS Strategic Plan for FY 2022–2026. Below are the related performance measures for this Objective.Performance Measure 3.4.1Violence Hotline CapacityCall Volume_fa40bc24-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_272Increase the capacity of the National Domestic Violence Hotline to respond to increased call volume (as measured by percentage of total annual calls to which the Hotline responds)lStatusIncreased[To be determined]Performance Measure 3.4.2Maltreated ChildrenPercentage_3cb9c820-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_273Decrease the percentage of children with substantiated or indicated reports of maltreatment that have a repeated substantiated or indicated report of maltreatment within six monthsStatusDecreased[To be determined]Performance Measure 3.4.3Trafficking Victims IdentifiedNumber_3cb9f002-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_274Increase the number of potential trafficking victims identified by the National Human Trafficking HotlineStatusInceased[To be determined]Performance Measure 3.4.4UC PlacementsPercentage_3cba0150-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_275Increase the percentage of placement designation of referrals of Unaccompanied Children (UC) from Department of Homeland Security within 24 hours of referralStatusIncreased[To be determined]Performance Measure 3.4.5Domestic Violence Screening_3cba336e-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_276Increase Intimate Partner (Domestic) Violence screening among American Indian and Alaska Native (AI/AN) FemalesStatusIncreased[To be determined]Performance Measure 3.4.6Prevention & Response StrategiesNumber_3cba605a-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_277Increase the number of prevention and response strategies from CDC’s resource Preventing Adverse Childhood Experiences: Leveraging the Best Available Evidence being implemented by state and local health departments funded through the multistate ACEs cooperative agreementStatusIncreased[To be determined]Performance Measure 3.4.7Resources_3cba70ea-d404-11ec-a175-1b2a0383ea00PLACEHOLDER_278Expand the number of evidence-based resources on best practices and core components of trauma-informed care for clinical practice that are available on the National Center for Injury Prevention and Control websiteStatusExpanded[To be determined]CoordinationPromote coordination across the federal government to address the full range and multiple forms of neglect, violence, trauma, and abuse across the life span, including gender-based violence_d98d07a6-d0db-11ec-84c6-e94c0583ea00Strategy 3.4.1_fa40ed16-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_279[To be determined]IntegrationIncrease coordination within HHS OpDivs and StaffDivs and partner with other federal departments on violence prevention and trauma initiatives that create opportunities for an integrated federal response._d98d1318-d0db-11ec-84c6-e94c0583ea00Tactic 3.4.1.1_fa40ffc2-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_280[To be determined]Outreach & InterventionsEngage community health workers to expand outreach and access to interventions for those impacted by neglect, violence, trauma, and abuse._d98d26fa-d0db-11ec-84c6-e94c0583ea00Tactic 3.4.1.2Community Health Workers_fa4123f8-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_281[To be determined]Awareness & PreventionDevelop national awareness and prevention initiatives focused on violence, trauma, neglect, and abuse as public health issues._d98d2fec-d0db-11ec-84c6-e94c0583ea00Tactic 3.4.1.3_fa415256-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_282[To be determined]Education & EmpowermentEducate and empower families and communities, including tribes and territories, to recognize and respond to signs of violence and trauma and understand the importance of and need for a comprehensive public health approach._d98d3b36-d0db-11ec-84c6-e94c0583ea00Tactic 3.4.1.4FamiliesCommunitiesTribesTerritories_fa416534-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_283[To be determined]Historical TraumaSupport broad awareness of the historical trauma experienced in American Indian and Alaska Native communities and implement evidence-based approaches to healthcare delivery that takes into account past and on-going violence and trauma across tribes._d98d4dce-d0db-11ec-84c6-e94c0583ea00Tactic 3.4.1.5American Indian CommunitiesAlaska Native Communities_fa418988-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_284[To be determined]Human TraffickingBolster early intervention, prevention, public awareness, and comprehensive access to services for individuals who have experienced human trafficking._d98d56de-d0db-11ec-84c6-e94c0583ea00Tactic 3.4.1.6_fa41bbce-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_285[To be determined]Resources & ServicesBuild resource infrastructure to ensure equitable delivery of high-quality services to support affected individuals, families, and communities_d98d653e-d0db-11ec-84c6-e94c0583ea00Strategy 3.4.2_fa41ce66-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_286[To be determined]Prevention & RecoveryStrengthen networks and increase resources—including resources to ensure adequate staffing—for state, local, tribal, territorial, community- and faith-based organizations focused on the prevention of and recovery from violence, trauma, neglect, and abuse as they make investments in programmatic advancement, cross-system coordination, equipment, and culturally- and linguistically-appropriate shelter and other services and service delivery._d98d78d0-d0db-11ec-84c6-e94c0583ea00Tactic 3.4.2.1State AgenciesLocal OrganizationsTribal OrganizationsTerritorial OrganizationsCommunity-Based OrganizationsFaith-Based Organizations_fa41ebf8-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_287[To be determined]SurvivorsFacilitate and support access to healthcare and behavioral health services for anyone who is surviving domestic violence, dating violence, family violence, and sexual violence, including 24-hour confidential hotline, shelters and programs, and a network of state coalitions and national technical assistance providers._d98d812c-d0db-11ec-84c6-e94c0583ea00Tactic 3.4.2.2Survivors_fa42175e-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_288[To be determined]HotlinesEnhance resources for hotlines that provide referrals and service connections to those impacted by violence, including the National Domestic Violence Hotline, the StrongHearts Native Help Line, and the National Human Trafficking Hotline._d98d8c6c-d0db-11ec-84c6-e94c0583ea00Tactic 3.4.2.3_fa422b40-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_289[To be determined]Training & AssistanceDesign innovative skills-based training and technical assistance to the networks, grantees, and programs that serve individuals, families, and communities impacted by neglect, violence, trauma, and abuse._d98d9fc2-d0db-11ec-84c6-e94c0583ea00Tactic 3.4.2.4_fa425480-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_290[To be determined]Assessments & EngagementCreate assessment tools and engage stakeholders to identify gaps in prevention, holistic treatment, and integrative care for underserved communities, including tribes and territories._d98da814-d0db-11ec-84c6-e94c0583ea00Tactic 3.4.2.5Underserved CommunitiesTribesTerritories_fa4287de-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_291[To be determined]DataLeverage data to inform the development of effective and innovative prevention and intervention models to address neglect, violence, trauma, and violence_d98db35e-d0db-11ec-84c6-e94c0583ea00Strategy 3.4.3_fa429cec-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_292[To be determined]SurveillanceStrengthen surveillance systems to gather prevalence data across all HHS programs and appropriately identify resources for public health and human services solutions._d98dc6be-d0db-11ec-84c6-e94c0583ea00Tactic 3.4.3.1_fa42c3f2-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_293[To be determined]StrategiesDisseminate evidence-based strategies to promote safe, stable, and nurturing relationships and environments for adults, children, families, older adults, and persons with disabilities, including the communities in which they live._d98dcf06-d0db-11ec-84c6-e94c0583ea00Tactic 3.4.3.2AdultsChildrenFamiliesOlder AdultsPersons with DisabilitiesCommunities_fa42f688-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_294[To be determined]Public Health DataAdvance the development, access, and use of standards, guidelines, regulations, and electronic reporting to improve the quality and timeliness of public health data collection._d98dda5a-d0db-11ec-84c6-e94c0583ea00Tactic 3.4.3.3_fa430b82-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_295[To be determined]Decision MakingEstablish policy and guidelines that emphasize evidence-based decision making for assisting those who have experienced trauma or violence._d98dedf6-d0db-11ec-84c6-e94c0583ea00Tactic 3.4.3.4_fa4334ea-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_296[To be determined]ResearchSupport a coordinated program of research focused on refining, testing, and implementing evidence-based practices for primary and trauma-related services, including screening, prevention, and treatment across relevant settings that serve youth and adults._d98df652-d0db-11ec-84c6-e94c0583ea00Tactic 3.4.3.5YouthAdults_fa43674e-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_297[To be determined]Intimate Partner ViolenceAddress gaps in knowledge about intimate partner violence prevention programs for American Indian and Alaska Native communities, for racial and ethnic specific communities, and for underserved communities._d98e01e2-d0db-11ec-84c6-e94c0583ea00Tactic 3.4.3.6American Indian CommunitiesAlaska Native CommunitiesRacial CommunitiesEthnic CommunitiesUnderserved Communities_fa4377c0-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_298[To be determined]Science & ResearchRestore Trust and Accelerate Advancements in Science and Research for All_bca624f0-cf47-11ec-89c9-1e9f0283ea004HHS is dedicated to restoring trust and accelerating advancements in science and research. The Department is prioritizing science, evidence, and inclusion to improve the design, delivery, and outcomes of HHS programs. It is investing in the research enterprise and the scientific workforce to maintain leadership in the development of innovations that broaden our understanding of disease, healthcare, public health, and human services resulting in more effective interventions, treatments, and programs. Strengthening surveillance, epidemiology, and laboratory capacity is another major focus to better understand and equitably address diseases and conditions. HHS is also increasing evidence-based knowledge through improved data collection, use, and evaluation efforts to achieve better health outcomes, reduced health disparities, and improved social well-being, equity, and economic resilience.ProgramsImprove the design, delivery, and outcomes of HHS programs by prioritizing science, evidence, and inclusion_bca625c2-cf47-11ec-89c9-1e9f0283ea004.1CommunitiesContributing OpDivs and StaffDivsAll OpDivs and StaffDivs contribute to achievement of this objective.HHS PartnersHHS OpDivs and StaffDivs engage and work with a broad range of partners and stakeholders to implement the strategies and achieve this Objective. They include:Animal Cell Culture, Clinical Trials Transformation Initiative (CTTI)CURE ID AppFNIH Biomarkers Consortium (FNIH)Models of Infectious Disease Agent Study (MIDAS)Reagan-Udall FoundationUS-Canada Regulatory Cooperation Council (RCC)HHS works on strategies to improve the design, delivery, and outcomes of HHS programs by prioritizing science, evidence, and inclusion. The Department leverages stakeholder engagement, communication, and collaboration to build and implement evidence-based interventions and approaches for stronger health, public health, and human services outcomes. ^ ^ Performance Goals ~ The HHS Annual Performance Plan provides information on the Department’s measures of progress towards achieving the goals and objectives described in the HHS Strategic Plan for FY 2022–2026. Below are the related performance measures for this Objective.Performance Measure 4.1.1Health IT_fa43949e-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_299By 2026, enhance understanding of how five health information technologies can be applied effectively to improve minority health or to reduce health disparitiesUnderstandingEnhanced[To be determined]Performance Measure 4.1.2CBCAP FundingPercentage_9febb7ca-d4ca-11ec-b444-28061f83ea00PLACEHOLDER_300Increase the percentage of Community-Based Child Abuse Prevention (CBCAP) total funding that supports evidence-based and evidence-informed child abuse prevention programs and practicesStatusIncreased[To be determined]InterventionsLeverage stakeholder engagement, communication, and collaboration to build and implement evidence-based interventions for stronger healthcare, public health, and human services outcomes_ed34e308-d13c-11ec-b45e-0e4f1583ea00Strategy 4.1.1_fa43bdb6-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_301[To be determined]Evidence & EquityPromote an evidence-based and equity-focused approach to the design, redesign, implementation, and quality of HHS programs, to inform decision making, improve oversight, and strengthen data integrity and program fidelity._ed34fb86-d13c-11ec-b45e-0e4f1583ea00Tactic 4.1.1.1_fa43d1d4-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_302[To be determined]Communication & CollaborationImprove communication and collaboration across HHS and across other federal agencies to bring together research and evaluation to better inform the translation of evidence throughout the Department._ed3517c4-d13c-11ec-b45e-0e4f1583ea00Tactic 4.1.1.2_fa43f6b4-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_303[To be determined]Lessons LearnedPromote sharing of lessons learned between grantees, from grantees to HHS staff, and where applicable, to the broader community._ed3531c8-d13c-11ec-b45e-0e4f1583ea00Tactic 4.1.1.3GranteesHHS Staff_fa442756-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_304[To be determined]Participation & EngagementBuild participation into research agendas by engaging stakeholders, including those with lived experience and citizen scientists, in the design and revision of evaluation and data collection systems and advancing equity amongst researchers and those communities targeted or underrepresented by research efforts._ed353dc6-d13c-11ec-b45e-0e4f1583ea00Tactic 4.1.1.4Citizen ScientistsResearchersUnderrepresented Communities_fa443a98-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_305[To be determined]Research InstitutionsEnsure research institutions have the capacity, technology, and infrastructure, including access to tools, technologies, and training, needed to conduct cutting edge-research._ed354df2-d13c-11ec-b45e-0e4f1583ea00Tactic 4.1.1.5Research Institutions_fa4468d8-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_306[To be determined]Information & EducationImprove communication and access to community members to facilitate transparent flow of information and education regarding HHS programs._ed35676a-d13c-11ec-b45e-0e4f1583ea00Tactic 4.1.1.6_fa4491f0-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_307[To be determined]InvestmentInvest in the research enterprise and the scientific workforce to maintain leadership in the development of innovations that broaden our understanding of disease, healthcare, public health, and human services resulting in more effective interventions, treatments, and programs_bca62694-cf47-11ec-89c9-1e9f0283ea004.2Scientific WorkforceContributing OpDivs and StaffDivsAHRQ, ASPE, ASPR, CDC, FDA, HRSA, NIH, OASH, OCR, and OGA work to achieve this objective.AHRQASPEASPRCDCFDAHRSANIHOASHOCROGAHHS PartnersHHS OpDivs and StaffDivs engage and work with a broad range of partners and stakeholders to implement the strategies and achieve this Objective. They include:Accelerating COVID-19 Therapeutic Interventions and Vaccines (ACTIV)Allergenic Products Advisory CommitteeBlood Products Advisory CommitteeBrain Research through Advancing Innovative Neurotechnologies® (BRAIN)Cellular, Tissue, and Gene Therapies Advisory CommitteeToxicology in the 21st Century (Tox21)Vaccines and Related Biological Products Advisory CommitteeHHS is investing in strategies to support the research enterprise and the scientific workforce. HHS works to build public trust by upholding scientific integrity and quality. HHS is also working to recruit, retain, and develop a diverse and inclusive scientific workforce to conduct basic and applied research in disease, healthcare, public health, and human services. HHS supports innovation in how research is supported, conducted, and translated into interventions that improve health and well-being. ^ ^ Performance Goals ~ The HHS Annual Performance Plan provides information on the Department’s measures of progress towards achieving the goals and objectives described in the HHS Strategic Plan for FY 2022–2026. Below are the related performance measures for this Objective.Performance Measure 4.2.1SUD Interventions_fa44a50a-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_308By 2025, develop or evaluate the efficacy or effectiveness of new or adapted prevention interventions for substance use disorders (SUD)StatusDeveloped or Evaluated[To be determined]Performance Measure 4.2.2Research Training_9febeb82-d4ca-11ec-b444-28061f83ea00PLACEHOLDER_309Provide research training for predoctoral trainees and fellows that promotes greater retention and long-term success in research careersStatusProvided[To be determined]Performance Measure 4.2.3Trainee ExperiencesNumber_9fec1166-d4ca-11ec-b444-28061f83ea00PLACEHOLDER_310Increase the total number of mentored research career development experiences for trainees from diverse backgrounds, including groups underrepresented in biomedical research, to promote individual development and to prepare them for a range of research-related careersStatusIncreased[To be determined]Performance Measure 4.2.4Mentored ExperiencesNumber_9fec4a96-d4ca-11ec-b444-28061f83ea00PLACEHOLDER_311Maintain the yearly number of undergraduate students with mentored research experiences through the IDeA (Institutional Development Award) Networks of Biomedical Research Excellence (INBRE) program in order to sustain a pipeline of undergraduate students who will pursue health research careersStatusMaintained[To be determined]Performance Measure 4.2.5Scientists RetainedPercentage_9fec5d88-d4ca-11ec-b444-28061f83ea00PLACEHOLDER_312Percentage of scientists retained at FDA after completing Fellowship or Traineeship programsStatus[To be determined]Performance Measure 4.2.6Research Reports_9fec7ef8-d4ca-11ec-b444-28061f83ea00PLACEHOLDER_313Conduct and disseminate policy relevant research reports on rural health issuesStatusDisseminated[To be determined]Integrity, Quality & TrustUphold scientific integrity to promote public trust in the quality of the research enterprise, ensuring sensitivity to the culture of the researched and promotion of their participation and ownership of the research process_ed357354-d13c-11ec-b45e-0e4f1583ea00Strategy 4.2.1_fa44cf76-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_314[To be determined]Education & TrainingEnsure the quality and integrity of research and research findings through education and training of the scientific workforce._ed3583bc-d13c-11ec-b45e-0e4f1583ea00Tactic 4.2.1.1Scientific Workforce_fa4500a4-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_315[To be determined]RegulationStrengthen regulatory and compliance capacity to account for the rapid increase in research technology and data capabilities, including investing in HHS offices with oversight of research integrity, human research protections, and animal care and use._ed359c94-d13c-11ec-b45e-0e4f1583ea00Tactic 4.2.1.2_fa4514ae-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_316[To be determined]Integrity & QualityDevelop and implement approaches, including developing and disseminating guidelines, standards, policies, or regulations, that enhance the integrity and quality of HHS-funded research by promoting a climate that incentivizes research conducted responsibly, with rigor and integrity in accordance with these expectations and those of the relevant scientific discipline._ed35a72a-d13c-11ec-b45e-0e4f1583ea00Tactic 4.2.1.3_fa4539fc-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_317[To be determined]Transparency & AwarenessPromote transparency and awareness by informing the public on efforts across the Department to ensure the scientific integrity in all research and evidence-building activities._ed35b88c-d13c-11ec-b45e-0e4f1583ea00Tactic 4.2.1.4_fa456bde-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_318[To be determined]WorkforceRecruit, retain, and develop a diverse and inclusive scientific workforce to conduct basic and applied research in disease, healthcare, public health, and human services_ed35d092-d13c-11ec-b45e-0e4f1583ea00Strategy 4.2.2_fa458af6-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_319[To be determined]Training, Mentorships & FellowshipsExpand and deploy evidence-based training, mentorship interventions, fellowships, and other workforce development initiatives that support scientists, especially underrepresented scientists, through critical points of transition in their career trajectories._ed35dc36-d13c-11ec-b45e-0e4f1583ea00Tactic 4.2.2.1ScientistsUnderrepresented Scientists_fa45b01c-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_320[To be determined]DiversityIncrease research and practice opportunities for a diverse range of investigators to address social determinants of health and advance health equity in populations with health disparities._ed35ec8a-d13c-11ec-b45e-0e4f1583ea00Tactic 4.2.2.2Investigators_fa45df56-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_321[To be determined]Talent Management PlanAttract, develop, and retain the scientific workforce by establishing a talent management strategic plan with input from government, industry, and academic stakeholders._ed3604ea-d13c-11ec-b45e-0e4f1583ea00Tactic 4.2.2.3Scientific Workforce_fa45f478-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_322[To be determined]RetentionRetain staff with expertise in scientific and research methods using recognition, training, and retention incentives to ensure that the scientific workforce has the skills and expertise necessary to adopt and implement the most innovative statistical and scientific methods._ed360fe4-d13c-11ec-b45e-0e4f1583ea00Tactic 4.2.2.4HHS Staff_fa461962-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_323[To be determined]Independent ResearchSupport scientists as they embark on, transition to, and sustain independent research careers to sustain the research enterprise._ed362042-d13c-11ec-b45e-0e4f1583ea00Tactic 4.2.2.5Scientists_fa464a9a-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_324[To be determined]InterventionsSupport, conduct, and translate research into interventions that improve the health and well-being for all_ed363d5c-d13c-11ec-b45e-0e4f1583ea00Strategy 4.2.3_fa465d14-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_325[To be determined]PartnershipsSupport and promote the development of partnerships between academic research organizations and health department, healthcare providers, community-based health organizations, and community organizations for relevant rapid implementation research and community-based participatory research to engage communities impacted by the research in the development and dissemination of the research._ed36482e-d13c-11ec-b45e-0e4f1583ea00Tactic 4.2.3.1Academic Research OrganizationsHealth DepartmentsHealthcare ProvidersCommunity-Based Health OrganizationsCommunity Organizations_fa468028-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_326[To be determined]Collaboration & DataIdentify and address barriers to collaboration and data sharing within HHS and other federal agencies, academic and public health partners, and private industry to make it easier to conduct cross-cutting, high impact, transdisciplinary, innovative research._ed365954-d13c-11ec-b45e-0e4f1583ea00Tactic 4.2.3.2Federal AgenciesAcademic PartnersPublic Health PartnersPrivate Industry_fa46ab5c-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_327[To be determined]Tools, Knowledge & TrainingExpand the availability and accessibility to tools, technologies, knowledge repositories, and training to ensure the nation’s research institutions have the capacity, technology, and infrastructure they need to design and execute impactful research programs that benefit multiple communities to help achieve the HHS mission._ed3670a6-d13c-11ec-b45e-0e4f1583ea00Tactic 4.2.3.3Research Institutions_fa494dda-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_328[To be determined]OutreachPartner with educational institutions that serve underserved populations to implement technical assistance outreach programs to increase awareness of research funding opportunities and increase the competitiveness of submitted research applications._ed367c72-d13c-11ec-b45e-0e4f1583ea00Tactic 4.2.3.4Educational InstitutionsUnderserved Populations_fa497fc6-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_329[To be determined]Promising TechnologiesPromote cross-functional and, importantly, cross-division efforts to identify emerging promising technologies and establish frameworks for the ethical development, study, and use of these technologies._ed368d16-d13c-11ec-b45e-0e4f1583ea00Tactic 4.2.3.5_fa49b37e-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_330[To be determined]Cutting Edge TechnologyProvide research grants for areas that are cutting edge in technology or disease and grow those resources._ed36a512-d13c-11ec-b45e-0e4f1583ea00Tactic 4.2.3.6_fa49c83c-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_331[To be determined]QualityFund opportunities for research implementing and evaluating community-based and culturally-competent models of healthcare and human services delivery to improve the quality of care received by racial and ethnic minority and sexual minority populations._ed36b066-d13c-11ec-b45e-0e4f1583ea00Tactic 4.2.3.7Racial Minority PopulationsEthnic Minority PopulationsSexual Minority Populations_fa49f276-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_332[To be determined]Community PartnersEstablish innovative funding opportunities to identify sources for community partners working on areas of concern who can also provide the health and human services communities with best practices in achieving positive results in interventions, treatments, and programs._ed36c0f6-d13c-11ec-b45e-0e4f1583ea00Tactic 4.2.3.8Community PartnersCommunities_fa4a23ea-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_333[To be determined]PreventionSupport research and innovation to strengthen implementation of evidence-based recommendations for preventive health services in public health and healthcare settings among people that have been underserved._ed36da50-d13c-11ec-b45e-0e4f1583ea00Tactic 4.2.3.9Underserved People_fa4a38b2-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_334[To be determined]Surveillance, Epidemiology & LabsStrengthen surveillance, epidemiology, and laboratory capacity to understand and equitably address diseases and conditions_bca62770-cf47-11ec-89c9-1e9f0283ea004.3Contributing OpDivs and StaffDivsCDC, FDA, IHS, OASH, NIH, OGA, and SAMHSA work to achieve this objective.HHS PartnersHHS OpDivs and StaffDivs engage and work with a broad range of partners and stakeholders to implement the strategies and achieve this Objective. They include:GenomeTrakr NetworkNational Residue ProgramPartnership for Food Protection (PFP)Veterinary Laboratory Investigation and Response Network (Vet-LIRN)LG STECWhole Genome Sequencing alignment (part of LG STEC Action Plan)HHS supports strategies to strengthen surveillance, epidemiology, and laboratory capacity to understand and equitably address diseases and health conditions. HHS is focused on expanding capacity to improve laboratory safety and quality, monitor conditions, understanding the needs of various sub-groups of people, and establishing the pipeline for future professionals. HHS is working to modernize surveillance systems for timeliness, accuracy, and analytic reporting while engaging and learning from partners and stakeholders to inform improvements and innovation. ^ ^ Performance Goals ~ The HHS Annual Performance Plan provides information on the Department’s measures of progress towards achieving the goals and objectives described in the HHS Strategic Plan for FY 2022–2026. Below are the related performance measures for this Objective.Performance Measure 4.3.1PathogensPercentage_fa4ae190-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_335Percentage of isolates of priority PulseNet pathogens (Salmonella, Shiga toxin-producing E. coli, and Listeria monocytogenes) sequenced and uploaded to the PulseNet National Database StatusSequenced & Uploaded[To be determined]Performance Measure 4.3.2Test Results ReportedPercentage_9feca630-d4ca-11ec-b444-28061f83ea00PLACEHOLDER_336The percentage of laboratory test results reported within the expected turn-around time (two weeks) upon receipt by CDC labsStatus[To be determined]Performance Measure 4.3.3Products AnalyzedNumber_9fecb954-d4ca-11ec-b444-28061f83ea00PLACEHOLDER_337Number of medical product analyses conducted through FDA's Sentinel InitiativeStatus[To be determined]Performance Measure 4.3.4Trainings & AssistanceNumber_9fecdd62-d4ca-11ec-b444-28061f83ea00PLACEHOLDER_338Number of Tribal Epidemiology Center-sponsored trainings and technical assistance provided to build tribal public health capacityStatus[To be determined]Safety, Quality & ThreatsExpand capacity to improve laboratory safety and quality, detect and prevent public health threats, monitor health conditions, understand the unique needs of various sub-groups of persons, and establish the pipeline for future professionals_ed36e572-d13c-11ec-b45e-0e4f1583ea00Strategy 4.3.1_fa4b538c-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_339[To be determined]Standards, Guidelines & RegulationsAdvance the development, access, and use of standards, guidelines, and regulations to improve the quality of laboratory testing and public health data collection._ed36f5da-d13c-11ec-b45e-0e4f1583ea00Tactic 4.3.1.1_fa4b6b24-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_340[To be determined]SurveillanceLeverage existing surveillance efforts to better understand the unique and common needs of various sub-groups of persons by race, ethnicity, national origin (including primary language), sex, sexual orientation, gender identity, pregnancy, education status, income, and other population characteristics._ed371074-d13c-11ec-b45e-0e4f1583ea00Tactic 4.3.1.2Sub-GroupsRacial Sub-GroupsEthnic Sub-GroupsNational Origin Sub-Groupsincluding primary languageSex Sub-GroupsSexual Orientation Sub-GroupsGender Identity Sub-GroupsPregnancy Sub-GroupsEducational Status Sub-GroupsIncome Sub-Groups_fa4b9298-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_341[To be determined]MethodologiesImprove capacity for advanced laboratory, epidemiologic, and environmental methods across federal and state agencies to enhance the detection of potential violations throughout the full lifecycle of HHS-regulated products to ensure only safe and effective products reach the public._ed371c18-d13c-11ec-b45e-0e4f1583ea00Tactic 4.3.1.3_fa4bc916-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_342[To be determined]Adverse EventsIdentify and assess adverse events related to the use of regulated human and animal medical products, including the development and more effective use of large nationally representative database systems, electronic health records, common data models, and natural language processing._7eb3991c-d207-11ec-9517-9fe8f682ea00Tactic 4.3.1.4_fa4bdea6-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_343[To be determined]ExpertiseBuild expertise in cutting edge laboratory, surveillance, and epidemiology techniques to address public health threats and disease conditions, including harmful chemical exposures and diseases, foodborne pathogens, antimicrobial resistance pathogens and other emerging pathogens, healthcare-associated infections, chronic diseases that disproportionately affect specific populations (e.g., sickle cell disease), individuals with disabilities, maternal health, and behavioral health._ed372cf8-d13c-11ec-b45e-0e4f1583ea00Tactic 4.3.1.5_fa4c107e-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_344[To be determined]ProfessionalsTrain and sustain a diverse pipeline of surveillance, epidemiology, laboratory professionals to address current and emerging needs and strengthen connections with clinical workforce development stakeholders._ed374580-d13c-11ec-b45e-0e4f1583ea00Tactic 4.3.1.6Clinical WorkforceSurveillance ProfessionalsEpidemiology ProfessionalsLaboratory Professionals_fa4c44d6-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_345[To be determined]SurveillanceModernize surveillance systems for timeliness, accuracy, and analytic reporting_ed3750b6-d13c-11ec-b45e-0e4f1583ea00Strategy 4.3.2_fa4c59ee-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_346[To be determined]Information, Knowledge & DataAccelerate the development and implementation of technological solutions, tools, and approaches to optimize information, knowledge, and data management, standardization, and quality, while ensuring the protection of personally identifiable information and other privacy concerns and minimizing threats to information security._ed37622c-d13c-11ec-b45e-0e4f1583ea00Tactic 4.3.2.1_fa4c875c-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_347[To be determined]Geographic InformationDevelop and introduce data standards for geographic information within the notifiable diseases reporting system to scales that are meaningful for assessment of socio-ecologic factors._ed377abe-d13c-11ec-b45e-0e4f1583ea00Tactic 4.3.2.2_fa4cba74-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_348[To be determined]Race & EthnicityPromote completeness and accuracy of race and ethnicity variables and other population characteristics—including age, disability status, geographic area, socioeconomic status, national origin (including primary language), and sex, sexual orientation, gender identity, and pregnancy—in laboratory data and data submitted for surveillance purposes in order to better explain the burden of disease and health conditions in diverse populations._ed37863a-d13c-11ec-b45e-0e4f1583ea00Tactic 4.3.2.3_fa4ccfbe-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_349[To be determined]ReportsPartner across HHS agencies to utilize nationally collected data to create customized surveillance reports to address the incidence of infectious disease in underserved populations._ed3797d8-d13c-11ec-b45e-0e4f1583ea00Tactic 4.3.2.4Underserved Populations_fa4cfce6-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_350[To be determined]Evaluations & InterventionsProvide actionable information for public health officials, policy makers, and regulators to establish and evaluate exposure and disease interventions within disproportionately affected communities or populations._ed37b0d8-d13c-11ec-b45e-0e4f1583ea00Tactic 4.3.2.5Public Health OfficialsPolicy MakersRegulatorsDisproportionately Affected CommunitiesDisproportionately Affected Populations_fa4d3102-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_351[To be determined]Engagement, Learning & InnovationEngage and learn from partners and stakeholders to inform improvements and innovation_ed37bc68-d13c-11ec-b45e-0e4f1583ea00Strategy 4.3.3_fa4d4692-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_352[To be determined]Partnership DataStrengthen state, federal, territorial, international, and public health partnership data and information sharing to improve surveillance and laboratory capacity to identify and better control threats to public health._ed37cd48-d13c-11ec-b45e-0e4f1583ea00Tactic 4.3.3.1State PartnersFederal PartnersTerritorial PartnersInternational PartnersPublic Health Partners_fa4d6df2-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_353[To be determined]Emergencies & DisastersCollaborate with domestic and international partners to develop innovative surveillance, epidemiological, and laboratory approaches that improve situational awareness and communication before, during, and after emergencies and disasters, including food and medical emergencies._ed37e774-d13c-11ec-b45e-0e4f1583ea00Tactic 4.3.3.2Domestic PartnersInternational Partners_fa4da5ba-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_354[To be determined]ParticipationIdentify and address barriers to participation of underserved populations in epidemiologic studies and enhance use of community-based participatory research to ensure studies are meaningful and beneficial to participants._ed37f2f0-d13c-11ec-b45e-0e4f1583ea00Tactic 4.3.3.3Underserved Populations_fa4dbb9a-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_355[To be determined]Data & EvidenceImprove data collection, use, and evaluation, to increase evidence-based knowledge that leads to better health outcomes, reduced health disparities, and improved social well-being, equity, and economic resilience_bca6284c-cf47-11ec-89c9-1e9f0283ea004.4Contributing OpDivs and StaffDivsACF, ACL, AHRQ, ASPE, CDC, CMS, FDA, HRSA, IHS, NIH, OASH, OCR, OGA, ONC, and SAMHSA work to achieve this objective.ACFACLAHRQASPECDCCMSFDAHRSAIHSNIHOASHOCROGAONCSAMHSAHHS PartnersHHS OpDivs and StaffDivs engage and work with a broad range of partners and stakeholders to implement the strategies and achieve this Objective. They include:Chief Data Officer CouncilEvaluation Officer CouncilFDA Office of Trade, Mutual Recognition, and International ArrangementsDevelopment of agreements on trade, mutual recognition, and information exchangeGlobal Summit on Regulatory ScienceHHS Data CouncilHHS Evidence and Evaluation CouncilInteragency Coordinating Committee on the Validation of Alternative Toxicological MethodsNational Voluntary Accreditation for Public Health DepartmentsGovernment of IndiaSupport Memorandum of Understanding between the FDA and the Government of IndiaHHS invests in strategies to improve data collection, use, and evaluation, to increase evidence-based knowledge that leads to better health outcomes, reduced health disparities, and improved social well-being, equity, and economic resilience. HHS leverages different types of data, such as administrative data and research data, to guide its actions. HHS is establishing a Department-wide approach to improve data collection, close data gaps, transform data, and share data for better HHS analysis and evaluation. HHS also fosters collaborations to expand data access and sharing to create more opportunities to use HHS data to increase knowledge of health, public health, and human service outcomes. HHS is improving data collection and conducting evaluations to understand the drivers for inequities in health outcomes, social well-being, and economic resilience while working to increase capacity and the use of evaluations at HHS to inform evidence-based decision making. ^ ^ Performance Goals ~ The HHS Annual Performance Plan provides information on the Department’s measures of progress towards achieving the goals and objectives described in the HHS Strategic Plan for FY 2022–2026. Below are the related performance measures for this Objective.Performance Measure 4.4.1Good or Excellent RatingsPercentage_fa4de2fa-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_356Sustain the percentage of Federal Power Users (key federal officials involved in health and healthcare policy or programs) that indicate that data quality is good or excellentStatusSustained[To be determined]Performance Measure 4.4.2.1Grantees Meeting BenchmarkNumber_9fed0526-d4ca-11ec-b444-28061f83ea00PLACEHOLDER_357Number of Maternal, Infant, and Early Childhood persist Program grantees that meet benchmark area data requirements for demonstrating improvementStatus[To be determined]Performance Measure 4.4.2.2Grantees Meeting BenchmarkPercentage_9fed189a-d4ca-11ec-b444-28061f83ea00PLACEHOLDER_358Percentage of Maternal, Infant, and Early Childhood persist Program grantees that meet benchmark area data requirements for demonstrating improvementStatus[To be determined]DataEstablish a Department-wide approach to improve data collection, close data gaps, transform data, and share data for better HHS analysis and evaluation_ed38057e-d13c-11ec-b45e-0e4f1583ea00Strategy 4.4.1_fa4e1f54-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_359[To be determined]Social DeteminantsFully implement Section 4302 of the Affordable Care Act to ensure that all HHS national data collection efforts and surveys collect information germane to social determinants of health, including data on race, ethnicity, primary language, disability status, sex, sexual orientation, gender identity, and pregnancy._b770920e-d1a4-11ec-8a37-7d352783ea00Tactic 4.4.1.1_fa4e3606-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_360[To be determined]GapsIdentify and address data gaps, including surveillance systems, surveys, and other data collection methodologies, that limit the ability to fully examine and assess social determinants of health, outcomes, and conditions of populations served by the Department’s health, public health or human services programs or services._b770a8de-d1a4-11ec-8a37-7d352783ea00Tactic 4.4.1.2_fa4e5dc0-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_361[To be determined]Elements & TaxonomiesDesign common data elements and taxonomies across the Department to consistently categorize data and information, improve data integrity, and ensure trust in data._b770c102-d1a4-11ec-8a37-7d352783ea00Tactic 4.4.1.3_fa4e9150-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_362[To be determined]SharingInvest in and promote intra-agency data sharing, including data linkages, interoperability of data, and data harmonization and standardization to leverage data, metrics, and information to improve analysis and evaluation of the Department programs._b770cb98-d1a4-11ec-8a37-7d352783ea00Tactic 4.4.1.4_fa4ea726-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_363[To be determined]AI/ML & PredictionBroaden the use of artificial intelligence, machine learning, predictive modeling, and other new technologies to harness the power of integrated data that can lead to improved health, public health, and human service outcomes._b770dfd4-d1a4-11ec-8a37-7d352783ea00Tactic 4.4.1.5_fa4ecfd0-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_364[To be determined]AI R&DEncourage data sharing across the Department to support the research and development of artificial intelligence solutions that can lead to improved public health outcomes._b770f7ee-d1a4-11ec-8a37-7d352783ea00Tactic 4.4.1.6_fa4f04b4-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_365[To be determined]CollaborationsFoster collaborations to broadly expand data access and sharing to create more opportunities to use HHS data to increase knowledge of healthcare, public health, and human services outcomes_ed381f6e-d13c-11ec-b45e-0e4f1583ea00Strategy 4.4.2_fa4f1a94-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_366[To be determined]Data InteroperabilityIncrease data interoperability between federal partners, states, tribes and territorial partners, non-profit organizations, and health information exchange networks to facilitate shared understanding, application, and utility._b7710266-d1a4-11ec-8a37-7d352783ea00Tactic 4.4.2.1Federal PartnersStatesTribesTerritorial PartnersNon-Profit OrganizationsHealth Information Exchange Networks_fa4f4276-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_367[To be determined]Data SharingExpand data sharing with state and local health departments, healthcare provider groups, clinical and patient care agencies, consortia developing regional health information exchanges, safety net providers, and other community-based organizations._b7711396-d1a4-11ec-8a37-7d352783ea00Tactic 4.4.2.2State Health DepartmentsLocal Health DepartmentsHealthcare Provider GroupsClinical Care AgenciesPatient Care AgenciesConsortiadeveloping regional health information exchangesSafety Net ProvidersCommunity-Based Organizations_fa4f78ea-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_368[To be determined]Platforms & RepositoriesFacilitate data sharing and access to HHS publicly available data by developing platforms and repositories, and maximizing their value by ensuring they are easy to find, user-friendly, and in machine-readable format._b771282c-d1a4-11ec-8a37-7d352783ea00Tactic 4.4.2.3_fa4f8f2e-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_369[To be determined]Data InventoryPartner with academic research institutes to catalogue and provide access to the Department's data inventory that matches what researchers need to investigate health inequity across communities and the policy impacts on those inequities._7eb3d616-d207-11ec-9517-9fe8f682ea00Tactic 4.4.2.4Academic Research Institutes_fa4fba30-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_370[To be determined]CollaborationsFoster U.S. and international collaborations to broadly expand data access and sharing to create more opportunities to use HHS data to increase knowledge of health, public health, and human service outcomes._b77132cc-d1a4-11ec-8a37-7d352783ea00Tactic 4.4.2.5_fa4fed5c-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_371[To be determined]Claims DatabaseDevelop a nationally representative all payer claims database that can be used by providers, consumers, researchers, and policymakers to develop new evidence on the impact of specific types of care on access to care, quality of care and the costs of care for different population subgroups._b771430c-d1a4-11ec-8a37-7d352783ea00Tactic 4.4.2.6ConsumersResearchersPolicymakers_fa5001d4-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_372[To be determined]Health DataCollaborate and coordinate across HHS Divisions and with other federal departments, states, tribal health facilities, Urban Indian Organizations, and others to improve American Indian/Alaska Native healthcare and status data collection to identify and share best practices to enhance the quality and quantity of American Indian/Alaska Native federal health information system data, including the expansion of social well-being, equity, economic resilience, and population comparison data._b771575c-d1a4-11ec-8a37-7d352783ea00Tactic 4.4.2.7American IndiansAlaska NativesHHS DivisionsFederal DepartmentsStatesTribal Health FacilitiesUrban Indian Organizations_fa502218-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_373[To be determined]Data & EvaluationsImprove data collection and conduct evaluations to understand the drivers for inequities in health outcomes, social well-being, and economic resilience_ed382ca2-d13c-11ec-b45e-0e4f1583ea00Strategy 4.4.3_fa504cac-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_374[To be determined]Inclusion & EngagementBetter engage and include community stakeholders and those with lived experience into the policymaking, program improvement, and research processes._b7716256-d1a4-11ec-8a37-7d352783ea00Tactic 4.4.3.1_fa50621e-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_375[To be determined]Social DeterminantsIntegrate social determinants of health data into surveillance systems, electronic health records, clinical decision supports, and other data collection points to improve knowledge and ensure equitable access to quality care and service delivery._b77171ec-d1a4-11ec-8a37-7d352783ea00Tactic 4.4.3.2_fa508906-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_376[To be determined]OutcomesEnsure HHS-funded projects and research studies assess disparities in outcomes in the use of health or human services, including social determinants of health and while protecting personally identifiable information._b77186aa-d1a4-11ec-8a37-7d352783ea00Tactic 4.4.3.3_fa50c484-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_377[To be determined]EvidenceSupport expanded research in various settings and among federal agencies to establish the evidence base for community and system level social determinants of health interventions to achieve health equity for historically underserved communities._7eb3ef2a-d207-11ec-9517-9fe8f682ea00Tactic 4.4.3.4_fa50dd2a-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_378[To be determined]DisparitiesEvaluate healthcare utilization, screening, treatment, and survivorship to identify disparities in health outcomes of individuals belonging to multiple underserved groups to inform program improvement and policy development._b7719104-d1a4-11ec-8a37-7d352783ea00Tactic 4.4.3.5_fa510aca-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_379[To be determined]Decision MakingStrengthen capacity and the use of evaluations at HHS to inform evidence-based decision making_ed383e86-d13c-11ec-b45e-0e4f1583ea00Strategy 4.4.4_fa518856-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_380[To be determined]EvaluationEngage in a systematic approach towards building capacity for evaluation and related analyses to ensure the Department is supporting programs that effectively improve the health and well-being of those it serves._b771a090-d1a4-11ec-8a37-7d352783ea00Tactic 4.4.4.1_fa519f4e-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_381[To be determined]PlansPublish an Evidence Building Plan and Annual Evaluation Plans that focus Departmental evidence-building activities and organizational learning, and promote transparency encouraging external stakeholders to build evidence useful for Agency decision-making._b771b5da-d1a4-11ec-8a37-7d352783ea00Tactic 4.4.4.2_fa51d202-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_382[To be determined]ManagementAdvance Strategic Management to Build Trust, Transparency, and Accountability_bca62982-cf47-11ec-89c9-1e9f0283ea005HHS is dedicated to advancing strategic management across the Department to build trust, transparency, and accountability. A major focus of the Department is promoting effective enterprise governance to ensure programmatic goals are met equitably and transparently across all management practices. HHS sustains strong financial stewardship of resources to foster prudent use of resources, accountability, and public trust. HHS works to uphold effective and innovative human capital resource management resulting in an engaged, diverse workforce with the skills and competencies to accomplish the HHS mission. The Department also ensures the security of HHS facilities, technology, data, and information, while advancing environment-friendly practices.GovernancePromote effective enterprise governance to ensure programmatic goals are met equitably and transparently across all management practices_bca62a72-cf47-11ec-89c9-1e9f0283ea005.1Contributing OpDivs and StaffDivsAll OpDivs and StaffDivs contribute to achievement of this Objective.HHS PartnersHHS OpDivs and StaffDivs engage and work with a broad range of partners and stakeholders to implement the strategies and achieve this Objective. They include:Council on Financial Assistance ReformFinancial Assistance Committee on E-governmentHHS Data CouncilHHS ERM CouncilHHS Evidence and Evaluation CouncilOffice of Federal Procurement PolicyPresident’s Management Council (PMC)HHS is supporting strategies to promote effective enterprise governance and ensure programmatic goals are achieved. HHS is strengthening governance, enterprise risk management, and strategic decision making across the Department to better pursue opportunities and address risks while creating a culture of change to support continuous improvement in program and mission delivery. ^ ^ Performance Goals ~ The HHS Annual Performance Plan provides information on the Department’s measures of progress towards achieving the goals and objectives described in the HHS Strategic Plan for FY 2022–2026. Below are the related performance measures for this Objective.Performance Measure 5.1.1ERM Maturity_fa520ec0-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_383To assess progress in implementing its ERM Framework, HHS will annually review and report on its ERM organizational maturity, and formally re-assess its maturity every two to three years using its HHS-internal capability maturity model, which is tailored to HHS's culture and operations.Status[To be determined]Governance, Risk & Decision MakingStrengthen governance, enterprise risk management and strategic decision making across HHS to better pursue opportunities and address risks_b771c084-d1a4-11ec-8a37-7d352783ea00Strategy 5.1.1_fa52243c-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_384[To be determined]Risk ManagementMature, integrate, and apply an Enterprise Risk Management (ERM) Framework across the Department and its Divisions to guide collaborative governance within the federated operating environment, leading to more risk informed strategic decision making._b771d07e-d1a4-11ec-8a37-7d352783ea00Tactic 5.1.1.1_fa524e94-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_385[To be determined]Planning & ManagementStrengthen the strategic management and planning capacity of the Department and its Divisions to accelerate programmatic impact to improve health, public health, and human services outcomes._b771e654-d1a4-11ec-8a37-7d352783ea00Tactic 5.1.1.2_fa529566-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_386[To be determined]Learning & ImprovementContinue to create a culture of learning at HHS to support continuous improvement in program and mission delivery_b771f1f8-d1a4-11ec-8a37-7d352783ea00Strategy 5.1.2_fa52abbe-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_387[To be determined]CoPsFoster the development and success of “communities of practice” and bodies of knowledge throughout the Department to share information, evidence-informed practices, and create opportunities to cross organizational boundaries to create innovative, responsive solutions._b7720512-d1a4-11ec-8a37-7d352783ea00Tactic 5.1.2.1_fa52d5d0-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_388[To be determined]Collaboration & CoordinationFacilitate collaboration and coordination to increase the use of change management, strategic management, human-centered design tools and techniques, and leverage technological advancements to improve customer experience and program and project management across HHS._b7721b9c-d1a4-11ec-8a37-7d352783ea00Tactic 5.1.2.2_fa5313ec-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_389[To be determined]Financial StewardshipSustain strong financial stewardship of HHS resources to foster prudent use of resources, accountability, and public trust_bca62b4e-cf47-11ec-89c9-1e9f0283ea005.2Contributing OpDivs and StaffDivsAll OpDivs and StaffDivs contribute to achievement of this objective.HHS PartnersHHS OpDivs and StaffDivs engage and work with a broad range of partners and stakeholders to implement the strategies and achieve this Objective. They include:Chief Acquisition Officers Council (CAOC)Chief Financial Officers Council (CFOC)Healthcare Fraud Prevention PartnershipNational Business Office Committee (NBOC)Shared Services Governance Board (SSGB)HHS supports strategies to sustain strong financial stewardship of resources. The Department continues to strengthen the financial management environment to prevent and mitigate deficiencies. HHS is focused on upholding accountability, transparency, and financial stewardship of HHS resources to ensure program integrity, effective internal controls, and payment accuracy. The Department is also building an enhanced financial management workforce that is better able to keep pace with changing contexts. ^ ^ Performance Goals The HHS Annual Performance Plan provides information on the Department’s measures of progress towards achieving the goals and objectives described in the HHS Strategic Plan for FY 2022–2026. Below are the related performance measures for this Objective.Performance Measure 5.2.1Improper Foster Care PaymentsDollars_fa532a8a-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_390Decrease improper payments in the title IV-E foster care program by lowering the national error rateStatusDecreased[To be determined]Performance Measure 5.2.2Cost-EffectivenessPercentage_9fed3bfe-d4ca-11ec-b444-28061f83ea00PLACEHOLDER_391Increase the cost-effectiveness ratio (total dollars collected per $1 of expenditures)StatusIncreased[To be determined]Performance Measure 5.2.3Improper Medicare PaymentsPercentage_9fed67e6-d4ca-11ec-b444-28061f83ea00PLACEHOLDER_392Reduce the Percentage of Improper Payments Made under Medicare Part C, the Medicare AdvantageStatusReduced[To be determined]Performance Measure 5.2.4Improper Drug PaymentsPercentage_9fed7d30-d4ca-11ec-b444-28061f83ea00PLACEHOLDER_393Reduce the Percentage of Improper Payments Made Under the Part D Prescription Drug ProgramStatusReduced[To be determined]Performance Measure 5.2.5Improper Medicare FFS PaymentsPercentage_9feda2ba-d4ca-11ec-b444-28061f83ea00PLACEHOLDER_394Reduce the Improper Payment Rate in the Medicare Fee-for-Service (FFS) ProgramStatusReduced[To be determined]Performance Measure 5.2.6Medicaid Improper PaymentsPercentage_9fedcda8-d4ca-11ec-b444-28061f83ea00PLACEHOLDER_395Reduce the Improper Payment Rate in the Medicaid ProgramStatusReduced[To be determined]Performance Measure 5.2.7Improper CHIP PaymentsPercentage_9fede1bc-d4ca-11ec-b444-28061f83ea00PLACEHOLDER_396Reduce the Improper Payment Rate in the Children's Health Insurance (CHIP)StatusReduced[To be determined]Financial ManagementContinue to strengthen the financial management environment to prevent and mitigate deficiencies_b7722718-d1a4-11ec-8a37-7d352783ea00Strategy 5.2.1_fa5355b4-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_397[To be determined]AI & RoboticsLeverage artificial intelligence and robotic process automation to improve quality and timeliness of key financial management business processes._b7723848-d1a4-11ec-8a37-7d352783ea00Tactic 5.2.1.1_fa53909c-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_398[To be determined]QualityEngage quality improvement principles to review key business processes and identify opportunities to manage risk and improve outcomes in areas such as financial management, grants management, and acquisitions._b7724d6a-d1a4-11ec-8a37-7d352783ea00Tactic 5.2.1.2_fa53ad98-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_399[To be determined]DigitizationBuild structures to continue transforming financial processes from manual to digital for faster, more accurate workflows at all levels of the organization._b7725800-d1a4-11ec-8a37-7d352783ea00Tactic 5.2.1.3_fa53d8ae-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_400[To be determined]Standards, Specifications & CertificationFacilitate continued collaboration across public and private sectors to adopt and advance nationally supported standards, implementation specifications, and certification criteria._b7726836-d1a4-11ec-8a37-7d352783ea00Tactic 5.2.1.4_fa54126a-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_401[To be determined]BISupport the integrated business intelligence framework to provide complete, accurate, and timely information to stakeholders in real time. _b7727d44-d1a4-11ec-8a37-7d352783ea00Tactic 5.2.1.5_fa542bec-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_402[To be determined]Internal ControlsPromote the application of financial management policies and procedures to include best practices across HHS to ensure sound internal controls._b77287da-d1a4-11ec-8a37-7d352783ea00Tactic 5.2.1.6_fa545630-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_403[To be determined]Accountability, Transparency & StewardshipUphold accountability, transparency, and financial stewardship of HHS resources to ensure program integrity, effective internal controls, and payment accuracy_b7729892-d1a4-11ec-8a37-7d352783ea00Strategy 5.2.2_fa548f60-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_404[To be determined]GovernanceImplement governance structures to provide accurate and timely financial information that demonstrates HHS accountability to stakeholders and facilitates data-driven operational, budget, and policy decisions that enhance equity for all._b772acec-d1a4-11ec-8a37-7d352783ea00Tactic 5.2.2.1_fa54a5fe-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_405[To be determined]IntegrityStrengthen program integrity methods to better prevent fraud and reduce improper payments by maintaining and improving oversight programs related to early detection and prevention._b772b7b4-d1a4-11ec-8a37-7d352783ea00Tactic 5.2.2.2_fa54d04c-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_406[To be determined]Assistance, Capacity & BurdenInvest in technical assistance, capacity-building, and burden reduction to strengthen program outcomes while ensuring program integrity, fiscal discipline, including helping grant recipients improve financial acumen, enterprise risk management, internal controls, and efficient operating policies and procedures to promote equitable access to financial assistance funding, while preventing fraud, waste, and abuse._b772c8da-d1a4-11ec-8a37-7d352783ea00Tactic 5.2.2.3_fa5508aa-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_407[To be determined]AuditsFocus and prioritize audits (such as grantee single audits, Department financial audit, Office of the Inspector General and Government Accountability Office programmatic audits) to increase accountability of HHS programs._b772de56-d1a4-11ec-8a37-7d352783ea00Tactic 5.2.2.4_fa551f0c-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_408[To be determined]Metrics & MonitoringDefine standards of excellence for the HHS financial community and implement a framework for measuring and monitoring success._b772e9b4-d1a4-11ec-8a37-7d352783ea00Tactic 5.2.2.5_fa55495a-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_409[To be determined]ITCollaborate across HHS and the private sector to align health information technology investments and advance consensus-based standards, implementation specifications, and health information technology certification criteria to improve interoperability of systems and the access, exchange, and use of electronic health information._b772f9d6-d1a4-11ec-8a37-7d352783ea00Tactic 5.2.2.6_fa5583f2-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_410[To be determined]WorkforceBuild an enhanced financial management workforce able to keep pace with changing contexts _b7730fac-d1a4-11ec-8a37-7d352783ea00Strategy 5.2.3_fa559a90-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_411[To be determined]InfrastructureAddress financial management workforce infrastructure to focus on adaptations to new technologies and skill requirements, recruitment, and retention._b7731c4a-d1a4-11ec-8a37-7d352783ea00Tactic 5.2.3.1_fa55c84e-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_412[To be determined]Knowledge, Training & Best PracticesDevelop training strategies for financial management that improve the transfer of knowledge and sharing of best practices and process across HHS._b7732cb2-d1a4-11ec-8a37-7d352783ea00Tactic 5.2.3.2_fa560322-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_413[To be determined]KMSupport financial analysis knowledge management by promoting an accessible repository of financial resources, directives, instructive documents, and standard operating procedures from across HHS._b77341f2-d1a4-11ec-8a37-7d352783ea00Tactic 5.2.3.3_fa5619e8-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_414[To be determined]CoPsStrengthen communities of practice for the federal financial management workforce to improve capability, recruitment, retention, and succession planning across the enterprise._b7734cba-d1a4-11ec-8a37-7d352783ea00Tactic 5.2.3.4_fa5645e4-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_415[To be determined]Human CapitalUphold effective and innovative human capital resource management resulting in an engaged, diverse workforce with the skills and competencies to accomplish the HHS mission_bca62c34-cf47-11ec-89c9-1e9f0283ea005.3Contributing OpDivs and StaffDivsAll OpDivs and StaffDivs contribute to achievement of this objective.HHS PartnersHHS OpDivs and StaffDivs engage and work with a broad range of partners and stakeholders to implement the strategies and achieve this Objective. They include:Chief Human Capital Officers CouncilHuman Capital CollaborationsHHS supports strategies to uphold effective and innovative human capital resource management. HHS is focused on building and sustaining a strong workforce through improved recruitment, hiring, and retention efforts. The Department is leveraging training and professional development opportunities to develop and manage a high-performing workforce while providing leaders and managers with the insight and tools to effectively carry out change management, organizational learning, and succession planning. ^ ^ Performance Goals The HHS Annual Performance Plan provides information on the Department’s measures of progress towards achieving the goals and objectives described in the HHS Strategic Plan for FY 2022–2026. Below are the related performance measures for this Objective.Performance Measure 5.3.1Work ExperienceRating_fa56805e-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_416Intrinsic Work Experience (From Federal Employee Viewpoint Survey)[To be determined]Performance Measure 5.3.2Employee SatisfactionRating_9fee0692-d4ca-11ec-b444-28061f83ea00PLACEHOLDER_417Employee Satisfaction with Opportunities for Professional Development and Growth (From Federal Employee Viewpoint Survey)[To be determined]Performance Measure 5.3.3Employee EngagementRating_9fee3284-d4ca-11ec-b444-28061f83ea00PLACEHOLDER_418Employee Engagement Index (From Federal Employee Viewpoint Survey)[To be determined]Recruitment, Hiring & RetentionBuild and sustain a strong workforce through improved recruitment, hiring, and retention efforts_b7735d90-d1a4-11ec-8a37-7d352783ea00Strategy 5.3.1_fa569954-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_419[To be determined]DEIA PlanDevelop and implement the HHS Diversity, Equity, Inclusion and Accessibility (DEIA) Strategic Plan to advance diversity, equity, inclusion, and accessibility in the HHS workforce and remove any potential barriers to diversity, equity, inclusion, and accessibility in the workforce, including establishing a framework to address workplace harassment._b773723a-d1a4-11ec-8a37-7d352783ea00Tactic 5.3.1.1_fa56c3ca-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_420[To be determined]Incentives & FlexibilitiesLeverage incentives and flexibilities to enhance the Department’s competitiveness in the job market, and develop mechanisms to the recruitment, hiring, and retention of a high-caliber and qualified workforce. _b7737d34-d1a4-11ec-8a37-7d352783ea00Tactic 5.3.1.2_fa56fd04-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_421[To be determined]Representation & PromotionIncrease diverse demographic representation and promotion outcomes by partnering with hiring managers and leveraging data to make informed decisions regarding recruitment, promotion, and retention strategies consistent with Merit System Principles._b7738e1e-d1a4-11ec-8a37-7d352783ea00Tactic 5.3.1.3_fa571410-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_422[To be determined]Engagement & CollaborationFacilitate regular engagement between hiring managers, human resources professionals, leaders, and other stakeholders, and support collaborations with public, private, and academic sectors to advance opportunities to recruit, support, and train an ethnically, socially, and experientially diverse workforce._b773a30e-d1a4-11ec-8a37-7d352783ea00Tactic 5.3.1.4_fa57416a-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_423[To be determined]Diversity & InclusionInvest in diversity and inclusion efforts, including Employee Resource Groups and interest groups, to increase involvement and participation of the workforce in cultivating a culture of inclusion and equity across the Department._b773ae94-d1a4-11ec-8a37-7d352783ea00Tactic 5.3.1.5_fa577e82-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_424[To be determined]Training & Professional DevelopmentLeverage training and professional development opportunities to develop and manage a high-performing workforce_b773bee8-d1a4-11ec-8a37-7d352783ea00Strategy 5.3.2_fa5794da-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_425[To be determined]Performance & SatisfactionEnsure better performance and greater job satisfaction by fostering a performance-focused culture aimed at bolstering existing skillsets and competencies while closing the mission-critical skill gap in emerging areas of high value, including both technical and soft skills, that benefit employees in advancing the mission of HHS._b773d676-d1a4-11ec-8a37-7d352783ea00Tactic 5.3.2.1_fa57bf00-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_426[To be determined]AccountabilityIncrease leaders' and managers' accountability for delivering results in improving diversity and equity outcomes in their hiring practices and promoting a culture that supports employees in identifying, accessing, and receiving professional development opportunities that are unique to their career needs and aspirations._b773e13e-d1a4-11ec-8a37-7d352783ea00Tactic 5.3.2.2_fa57fa60-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_427[To be determined]Diversity & InclusionIncrease access to diversity and inclusion training and developmental opportunities for HHS leaders, managers, and staff to foster a culture of inclusion and equity among an increasingly diverse workforce._b773f1c4-d1a4-11ec-8a37-7d352783ea00Tactic 5.3.2.3_fa580fd2-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_428[To be determined]Insight & ToolsProvide leaders and managers with the insight and tools to effectively carry out change management, organizational learning, and succession planning_b77408c6-d1a4-11ec-8a37-7d352783ea00Strategy 5.3.3_fa58399e-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_429[To be determined]HR SystemsModernize human resource systems, policies, and processes using data and best practices for effective recruitment, staffing, retention, succession planning, and workforce planning._b77413c0-d1a4-11ec-8a37-7d352783ea00Tactic 5.3.3.1_fa587378-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_430[To be determined]Best PracticesApply best practices in change management to improve how employees are managed and supported in today’s fast-changing workplace environment, contributing to recruitment and retention efforts while promoting transparency, trust, and accountability across the organization._b7742496-d1a4-11ec-8a37-7d352783ea00Tactic 5.3.3.2_fa588b10-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_431[To be determined]Engagement, Collaboration & CommunicationFacilitate engagement, collaboration, and communication between HHS leaders, managers, and employees in ensuring a work environment that promotes inclusive policies and flexibilities, such as work schedule flexibilities and remote work opportunities, that are responsive to the Department’s evolving needs._b7743986-d1a4-11ec-8a37-7d352783ea00Tactic 5.3.3.3_fa58b432-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_432[To be determined]Succession PlanningPromote succession planning for mission-critical occupations to increase organizational resilience and effectiveness by facilitating the regular transfer of institutional knowledge among the workforce._b774464c-d1a4-11ec-8a37-7d352783ea00Tactic 5.3.3.4_fa58f2da-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_433[To be determined]DEIATake a data-driven approach to advancing policies that promote diversity, equity, inclusion, and accessibility within the HHS workforce, while protecting the privacy of employees and safeguarding all personally identifiable information and protected health information._b77456be-d1a4-11ec-8a37-7d352783ea00Tactic 5.3.3.5_fa590c8e-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_434[To be determined]Leading PracticesSupport, coordinate, and encourage HHS efforts to conduct research, evaluation, and other evidence-building activities to identify leading practices, and other promising practices, for broadening participation and opportunities for advancement in HHS employment, and to assess and promote the benefits of diversity, equity, inclusion, and accessibility for federal performance and operations and barriers to achieving these goals._b7746e4c-d1a4-11ec-8a37-7d352783ea00Tactic 5.3.3.6_fa59357e-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_435[To be determined]Facilities, Technology & DataEnsure the security and climate resiliency of HHS facilities, technology, data, and information, while advancing environment-friendly practices_bca62d24-cf47-11ec-89c9-1e9f0283ea005.4Contributing OpDivs and StaffDivsAll OpDivs and StaffDivs contribute to achievement of this objective.HHS PartnersHHS OpDivs and StaffDivs engage and work with a broad range of partners and stakeholders to implement the strategies and achieve this Objective. They include:Chief Information Officers (CIO) CouncilCyber-ERM Community of Interest/Practice (CyberCOI)Federal Privacy CouncilHHS AI Community of Practice (CoP)HHS AI CouncilHHS supports strategies to ensure the security of HHS facilities, technology, data, and information, while advancing environment-friendly practices. HHS is focused on shifting the culture of data use across the enterprise to maximize the power of data. The Department is leveraging modernization as a gateway to strengthened cybersecurity and enhanced risk management. HHS also captures and applies lessons learned from real-world experiences to strengthen operational resilience. ^ ^ Performance Goals ~ The HHS Annual Performance Plan provides information on the Department’s measures of progress towards achieving the goals and objectives described in the HHS Strategic Plan for FY 2022–2026. Below are the related performance measures for this Objective.Performance Measure 5.4.1Authorized SystemsPercentage_fa596ce2-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_436Increase the percentage of systems with an Authority to OperateStatusIncreased[To be determined]Performance Measure 5.4.2Phishing ResistancePercentage_9fee46f2-d4ca-11ec-b444-28061f83ea00PLACEHOLDER_437Improve Phishing Reporting and Resistance PercentagesStatusIncreased[To be determined]Performance Measure 5.4.3GHG EmissionsMetric Tons_9fee6a92-d4ca-11ec-b444-28061f83ea00PLACEHOLDER_438Reduce HHS GHG emissions (Metric Tons CO2 Equivalent) from Prior FYStatusReduced[To be determined]Performance Measure 5.4.4MSW DiversionPercentage_9fee992c-d4ca-11ec-b444-28061f83ea00PLACEHOLDER_439Increase HHS owned facilities municipal solid waste (MSW) diversion rateStatusIncreased[To be determined]Performance Measure 5.4.5Energy IntensityMMBtu/kSF_9feeae08-d4ca-11ec-b444-28061f83ea00PLACEHOLDER_440Reduce energy intensity (MMBtu/kSF) from prior FYStatusReduced[To be determined]Performance Measure 5.4.6Water IntensityGal/kSF_9feed3f6-d4ca-11ec-b444-28061f83ea00PLACEHOLDER_441Reduce water intensity (Gal/kSF) from prior FYStatusReduced[To be determined]DataStrategically shift the culture of data use across the enterprise towards sharing data to maximize the power of data_b77479a0-d1a4-11ec-8a37-7d352783ea00Strategy 5.4.1_fa598420-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_442[To be determined]SharingEvaluate the behaviors, risk-framework, and incentive structure around data sharing and increase the value of data to be an enterprise-level asset for the Department._b7748a58-d1a4-11ec-8a37-7d352783ea00Tactic 5.4.1.1_fa59ad2e-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_443[To be determined]ManagementAdvance effective data management and ethical data use across the Department by addressing essential elements related to data integrity, quality, privacy, and security._b7749fe8-d1a4-11ec-8a37-7d352783ea00Tactic 5.4.1.2_fa5a12e6-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_444[To be determined]AI/MLCreate and utilize strategic frameworks for the trustworthy and ethical deployment of artificial intelligence and machine learning solutions across the Department._b774ab32-d1a4-11ec-8a37-7d352783ea00Tactic 5.4.1.3_fa5a295c-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_445[To be determined]Cybersecurity & RiskLeverage HHS modernization as a gateway to strengthened cybersecurity and enhanced risk management_b774bc80-d1a4-11ec-8a37-7d352783ea00Strategy 5.4.2_fa5a54ea-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_446[To be determined]IT & ETModernize legacy information technology infrastructure, processes, and systems and deploy emerging technologies, such as artificial intelligence and machine learning, and Zero Trust architecture._b774d63e-d1a4-11ec-8a37-7d352783ea00Tactic 5.4.2.1_fa5a8d34-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_447[To be determined]Strategic AlignmentAlign information security risk management and information technology modernization efforts with enterprise risk management by sharing opportunities and risks among information security and privacy, information technology, and other management disciplines, which will help HHS to ensure that information security and information technology modernization initiatives directly support mission priorities and HHS stakeholders, and consistently meet mandated requirements._b774e354-d1a4-11ec-8a37-7d352783ea00Tactic 5.4.2.2_fa5aa31e-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_448[To be determined]Risk & ThreatsContinually improve staff awareness of HHS risk posture and cybersecurity threats through awareness programs._b774f402-d1a4-11ec-8a37-7d352783ea00Tactic 5.4.2.3_fa5ac948-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_449[To be determined]Resilience & ContinuityCapture and apply lessons learned from real-world experiences to strengthen operational resilience and continuity to deliver the HHS mission_b77509e2-d1a4-11ec-8a37-7d352783ea00Strategy 5.4.3_fa5af74c-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_450[To be determined]AssetsEnsure the continuity of government by protecting employees and safeguarding HHS physical and digital assets during natural or man-made events through viable Continuity of Operations and Occupant Emergency Plans. Implement best practice security measures when modernizing and remodeling workspaces._b7751518-d1a4-11ec-8a37-7d352783ea00Tactic 5.4.3.1_fa5b0aac-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_451[To be determined]WorkforceStrategically hire, train, equip and empower the appropriate workforce charged with ensuring the safety and security for all HHS employees, visitors, and assets._b775247c-d1a4-11ec-8a37-7d352783ea00Tactic 5.4.3.2_fa5b2a78-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_452[To be determined]ClimateImplement the climate resiliency actions as indicated in the HHS Climate Action and Resilience Plan to bolster resilience of its operations and assets from impacts of climate change_b7753a20-d1a4-11ec-8a37-7d352783ea00Strategy 5.4.4_fa5b5a5c-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_453[To be determined]Carbon PollutionMitigate and prevent carbon pollution from HHS operations and procurement activities._b7754466-d1a4-11ec-8a37-7d352783ea00Tactic 5.4.4.1_fa5b6cc2-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_454[To be determined]Waste & RecyclingPrevent and reduce waste and pollution by diverting waste to landfill and eliminate the use of single use plastic through promotion and establishment of closed loop recycling processes._b77553a2-d1a4-11ec-8a37-7d352783ea00Tactic 5.4.4.2_fa5b8ee6-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_455[To be determined]WaterContinually improve energy and water efficiency in facility operations across HHS facilities real estate portfolio._b775698c-d1a4-11ec-8a37-7d352783ea00Tactic 5.4.4.3_fa5bbccc-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_456[To be determined]FacilitiesPrioritize and implement projects to ensure HHS facilities are resilient against excessive heat, extreme weather, wildfires, drought, and flooding._b77573dc-d1a4-11ec-8a37-7d352783ea00Tactic 5.4.4.4_fa5bd1c6-d3c2-11ec-9871-c994f982ea00PLACEHOLDER_457[To be determined]_fa5bf1f6-d3c2-11ec-9871-c994f982ea002021-10-012026-09-302022-05-16https://www.hhs.gov/about/strategic-plan/2022-2026/index.html_fa5c22fc-d3c2-11ec-9871-c994f982ea00OwenAmburOwen.Ambur@verizon.net